Individual
VICTORIA COUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 NORTHWESTERN AVE, WEST LAFAYETTE, IN 47906-6816
(765) 463-0910
Mailing address
5719 PROPHETS ROCK RD, WEST LAFAYETTE, IN 47906-9680
(512) 636-6099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023603A
IN
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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