Individual
HEATHER DEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-9882
Mailing address
303 W JACKSON ST, RENSSELAER, IN 47978-2424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025128A
IN
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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