Individual
MR. EDMUND GUNN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
2500 GRANT ST, GARY, IN 46404-3508
(219) 949-1055
(219) 944-7371
Mailing address
515 E 53RD CT, MERRILLVILLE, IN 46410-1602
(219) 985-9816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015894
IN
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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