Individual
JENNIFER NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3500 CENTRAL AVE, LAKE STATION, IN 46405-2271
(219) 963-7355
Mailing address
3500 CENTRAL AVE, LAKE STATION, IN 46405-2271
(219) 963-7355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020492A
IN
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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