Individual
MILORAD BALAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 BROADWAY, MERRILLVILLE, IN 46410-1554
(219) 884-4000
Mailing address
5301 BROADWAY, MERRILLVILLE, IN 46410-1554
(219) 884-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022194A
IN
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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