Individual
ALLAN WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3134 E 79TH AVE, MERRILLVILLE, IN 46410-5738
(219) 947-3789
Mailing address
2420 SANDY RIDGE RD, DYER, IN 46311-1974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26002122A
IN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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