Individual
PHILIP MAISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
429 W PIKE ST, GOSHEN, IN 46526-2362
(574) 534-7616
(574) 534-6562
Mailing address
67310 ASHBROOKE DR, GOSHEN, IN 46526-5561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022232A
IN
183500000X
Pharmacist
PS27974
FL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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