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Individual

JOHN SCHIMIZZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
56199 BIRCH RD, OSCEOLA, IN 46561-9519
(574) 674-9253
Mailing address
56199 BIRCH RD, OSCEOLA, IN 46561-9519
(574) 674-9253

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26012410
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26012410
LICENSE NUMBER
IN
Enumeration date
09/23/2011
Last updated
09/23/2011
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