Individual
STEVE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13060 ADAMS RD, GRANGER, IN 46530-8787
(574) 243-5468
Mailing address
13060 ADAMS RD, GRANGER, IN 46530-8787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024397A
IN
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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