Individual
LYNN A WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 E RIDGE RD, GRIFFITH, IN 46319-1461
(219) 838-4280
Mailing address
231 MAPLE LN, MUNSTER, IN 46321-2106
(219) 836-5785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020119A
IN
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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