Individual
NICOLE M MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N HALLECK ST, DEMOTTE, IN 46310-9419
(219) 987-3301
Mailing address
310 N HALLECK ST, DEMOTTE, IN 46310-9419
(219) 987-3301
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67020558A
IN
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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