Individual
JAROSLAV BALAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8005 CALUMET AVE, MUNSTER, IN 46321-1217
(219) 836-2697
Mailing address
15 CYPRESS DR, SCHERERVILLE, IN 46375-1136
(219) 836-2697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013971
IN
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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