Individual
JESSICA MCELFRESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6050 US HIGHWAY 6, PORTAGE, IN 46368-5047
(219) 763-0310
Mailing address
6050 US HIGHWAY 6, PORTAGE, IN 46368-5047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027221A
IN
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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