Individual
ALYSSA VONDERHEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
723 3RD AVE, JASPER, IN 47546-3639
(812) 482-9442
Mailing address
723 3RD AVE, JASPER, IN 47546-3639
(812) 482-9442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019867
IN
Other
Enumeration date
04/29/2017
Last updated
04/29/2017
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