Individual
SCOTT LUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
209 CHICAGO AVE, GOSHEN, IN 46526-2311
(574) 534-9223
(574) 533-0804
Mailing address
209 CHICAGO AVE, GOSHEN, IN 46526-2311
(574) 534-9223
(574) 533-0804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013831A
IN
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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