Individual
KRISTA MASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
400 W 81ST AVE, MERRILLVILLE, IN 46410-5589
(219) 736-1372
Mailing address
218 WOODSIDE CT, VALPARAISO, IN 46385-6025
(219) 405-9308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017203
IN
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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