Individual
MARESSA JUDITH KOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
716 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-1118
Mailing address
716 RIDGE RD, MUNSTER, IN 46321-1612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051299812
IL
183500000X
Pharmacist
Primary
26026782A
IN
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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