Individual
KEITH JUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
702 E LINCOLNWAY, LA PORTE, IN 46350-3889
(219) 362-7133
Mailing address
702 E LINCOLNWAY, LA PORTE, IN 46350-3889
(219) 362-7133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021773A
IN
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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