Organization
VALPARAISO PROFESSIONAL PHARMACY,P.C.
Active
Organization
VALPARAISO PROFESSIONAL PHARMACY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELTON LEE VANDER TUIN PHARM.D. (PRESIDENT)
(219) 462-1485
Entity
Organization
Contact information
Practice address
2101 ROOSEVELT RD, VALPARAISO, IN 46383-2747
(219) 462-1485
(219) 465-4199
Mailing address
2101 ROOSEVELT RD, VALPARAISO, IN 46383-2747
(219) 462-1485
(219) 465-4199
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
IN
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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