Individual
CORY JOSEPH BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
525 S MAYFLOWER RD, SOUTH BEND, IN 46619-2223
(574) 334-5200
Mailing address
525 S MAYFLOWER RD, SOUTH BEND, IN 46619-2223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024212A
IN
183500000X
Pharmacist
5302040873
MI
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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