Individual
DANIELLE COPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 US HIGHWAY 41, SCHERERVILLE, IN 46375-1317
(219) 865-6124
Mailing address
15310 OAKDALE PL, CEDAR LAKE, IN 46303-7044
(219) 696-6630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020488A
IN
Other
Enumeration date
06/20/2020
Last updated
06/20/2020
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