Individual
MAX PLACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545
(574) 335-3110
Mailing address
11365 HARBRIDGE CT., GRANGER, IN 46530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017267A
IN
183500000X
Pharmacist
5302031609
MI
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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