Individual
MR. ROBERT E PONCSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
400 W 81ST AVE, MERRILLVILLE, IN 46410-5589
(219) 736-1372
(219) 736-1922
Mailing address
400 W 81ST AVE, MERRILLVILLE, IN 46410-5589
(219) 736-1372
(219) 736-1922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013387A
IN
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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