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Individual

NICK STACHELSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3819 SOUTH ST, LAFAYETTE, IN 47905-4872
(765) 446-0575
Mailing address
11703 W BRIARWOOD CT, MONTICELLO, IN 47960-4759
(574) 808-9642

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019964A
IN

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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