Individual
NICHOLAS MITCHELL DIMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8383 DOUBLETREE DR S, CROWN POINT, IN 46307-9358
(219) 545-1063
Mailing address
8383 DOUBLETREE DR S, CROWN POINT, IN 46307-9358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026023A
IN
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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