Individual
HOON CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1206 16TH ST, BEDFORD, IN 47421-3707
(812) 275-3393
Mailing address
1206 16TH ST, BEDFORD, IN 47421-3707
(812) 275-3393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021335A
IN
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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