Individual
ALLYSON TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 947-6740
Mailing address
1389 BRANDYWINE RD, CROWN POINT, IN 46307-9307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027684A
IN
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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