Individual
CAROL ANN SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
3938 MIDWAY RD, STORE 1446, GOSHEN, IN 46526-5854
(574) 875-0610
(574) 875-0610
Mailing address
3938 MIDWAY RD, STORE 1446, GOSHEN, IN 46526-5854
(574) 875-0610
(574) 875-0610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015786A
IN
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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