Individual
PRISCILLA ALYSSA CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2959
(219) 836-1600
Mailing address
10712 S AVENUE C, CHICAGO, IL 60617-6853
(773) 747-2206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030930A
IN
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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