Individual
LAUREEN CARLSON WHITACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
120 SANFORD SCHOOL RD, ELKHART, IN 46514-5884
(574) 970-6470
(574) 970-6473
Mailing address
16948 LONDONBERRY LN, SOUTH BEND, IN 46635-1473
(574) 276-2313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015315A
IN
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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