Individual
ERLYNNE JURADO CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3049
(219) 392-7480
Mailing address
10024 MARGO LN, MUNSTER, IN 46321-9136
(219) 779-1099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021193A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26021193A
PHARMACIST LICENSE
IN
Enumeration date
01/23/2018
Last updated
01/23/2018
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