Individual
MARISSA O'HAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 N IRONWOOD DR, SOUTH BEND, IN 46615-3566
(574) 234-5046
(574) 234-5086
Mailing address
1351 N IRONWOOD DR, SOUTH BEND, IN 46615-3566
(574) 234-5046
(574) 234-5086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015461A
IN
Other
Enumeration date
09/22/2011
Last updated
11/10/2014
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