Individual
REBECCA M KUZMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1302 W STATE ROAD 2, LA PORTE, IN 46350-4666
(219) 362-7009
Mailing address
1204 AZALEA ST SE, DEMOTTE, IN 46310-9700
(219) 306-0646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023833A
IN
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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