Individual
HALEY MIRABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N BROAD ST, GRIFFITH, IN 46319-2222
(219) 924-9540
(219) 924-9535
Mailing address
17633 COMMUNITY ST, LANSING, IL 60438-2014
(708) 297-0487
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67041338A
IN
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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