Individual
KATARZYNA TARKOWSKA-SZUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 119TH ST, WHITING, IN 46394-1602
(219) 659-0299
(219) 659-7660
Mailing address
1301 119TH ST, WHITING, IN 46394-1602
(219) 659-0299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293158
IL
183500000X
Pharmacist
2602260A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8435
8435
IN
Enumeration date
08/19/2020
Last updated
08/19/2020
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