Individual
THOMAS ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
812 W BROADWAY ST, MONTICELLO, IN 47960-2011
(574) 583-3706
(574) 583-8778
Mailing address
3086 W COUNTY ROAD 100 N, LOGANSPORT, IN 46947-8532
(574) 753-8309
(574) 583-8778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017537
IN
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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