Individual
JEROME V VALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1061 VANDERBURGH DR, VALPARAISO, IN 46385-6166
(219) 548-2095
Mailing address
1061 VANDERBURGH DR, VALPARAISO, IN 46385-6166
(219) 548-2095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26011759
IN
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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