Individual
NATHANIEL CHADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1302 CARRSBROOKE DR, APT 1, VALPARAISO, IN 46383-2751
(219) 309-8965
Mailing address
1302 CARRSBROOKE DR, APT 1, VALPARAISO, IN 46383-2751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024086A
IN
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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