Individual
SUSAN JARACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
55 PINE LAKE AVE, LA PORTE, IN 46350-3027
(219) 325-3152
(219) 325-3251
Mailing address
5222 N CAMERON, LA PORTE, IN 46350-7600
(219) 873-7194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018309A
IN
Other
Enumeration date
11/28/2019
Last updated
11/28/2019
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