Individual
GUADALUPE CASTANEDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 RIVER OAKS DR, CALUMET CITY, IL 60409-5712
(708) 891-0039
Mailing address
9740 BANBURY PL, MUNSTER, IN 46321-9125
(219) 922-7940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-035224
IL
183500000X
Pharmacist
26017844A
IN
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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