Individual
DR. AMY JANETTE MAXBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2490 CENTRAL AVE, LAKE STATION, IN 46405-2122
(219) 962-5909
(219) 962-5981
Mailing address
4512 W 73RD CT, MERRILLVILLE, IN 46410-7333
(219) 791-0622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023163A
IN
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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