Individual
ROBERT FRED SAUSAMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 COUNTRY SIDE DR, COLUMBIA CITY, IN 46725-1101
(260) 248-4572
Mailing address
340 E 200 S, COLUMBIA CITY, IN 46725-9778
(260) 213-1318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26012346A
IN
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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