Individual
DR. BRIANNA R DETTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
308 N MAIN ST, HEBRON, IN 46341-8790
(219) 996-2930
Mailing address
13242 WICKER AVE, CEDAR LAKE, IN 46303-9348
(219) 374-9346
(219) 374-9418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025610A
IN
Other
Enumeration date
09/09/2014
Last updated
04/28/2022
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