Individual
MR. FRED L YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
430 W RIDGE RD, GRIFFITH, IN 46319-1018
(219) 972-0364
Mailing address
311 DREAMWOLD WAY, MICHIANA SHORES, IN 46360-1211
(708) 691-1145
(219) 972-0364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2601888
IN
Other
Enumeration date
09/08/2013
Last updated
09/08/2013
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