Individual
SUSAN TSAGRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3240 WILLOWCREEK RD, PORTAGE, IN 46368-5055
(219) 762-3998
Mailing address
272 KINCRAIG DR, VALPARAISO, IN 46385-9299
(219) 617-4483
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26019263A
IN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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