Individual
TIMOTHY STOEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 BROADWAY, GARY, IN 46407-1309
(219) 885-6355
Mailing address
1350 BROADWAY, GARY, IN 46407-1309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027577A
IN
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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