Individual
MR. JOHN VALLANGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
525 E LINCOLNWAY, LA PORTE, IN 46350-3833
(219) 326-9536
Mailing address
6233 ROBBINS RD, PORTAGE, IN 46368-4565
(219) 241-1544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027217A
IN
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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