Individual
CRAIG MERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
901 E DONALD ST, SOUTH BEND, IN 46613-2920
(574) 231-8416
Mailing address
901 E DONALD ST, SOUTH BEND, IN 46613-2920
(574) 231-8416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013362A
IN
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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