Individual
MICHELLE M KROENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
525 E LINCOLNWAY, LA PORTE, IN 46350-3833
(219) 326-9536
(219) 326-9650
Mailing address
525 E LINCOLNWAY, LA PORTE, IN 46350-3833
(219) 326-9536
(219) 326-9650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017394A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26017394A
INDIANA STATE LICENSE
IN
Enumeration date
01/21/2011
Last updated
01/21/2011
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