Individual
MRS. LINDA D KASIANCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1520 S COURT ST, CROWN POINT, IN 46307-4809
(219) 663-0336
Mailing address
651 HARVEST CT, CROWN POINT, IN 46307-2954
(219) 662-1695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014011A
IN
Other
Enumeration date
10/01/2011
Last updated
10/01/2011
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