Individual
DR. MARK HENRY FRAZIER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1903 CALUMET AVE, VALPARAISO, IN 46383-2703
(219) 462-6172
Mailing address
2805 KICKBUSH DR, VALPARAISO, IN 46385-7103
(219) 310-4062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021400A
IN
Other
Enumeration date
06/17/2005
Last updated
07/08/2007
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