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Individual

DR. WALTER T BIELAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD, RPH

Contact information

Practice address
1801 SOUTH ST, LAFAYETTE, IN 47904-2962
(765) 446-1366
(765) 448-1066
Mailing address
1801 SOUTH ST, LAFAYETTE, IN 47904-2962
(765) 446-1366
(765) 448-1066

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021945A
IN

Other

Enumeration date
08/26/2011
Last updated
08/26/2011
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