Individual
DEBRA WHEELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
55 PINE LAKE AVE, LA PORTE, IN 46350-3027
(219) 325-3251
Mailing address
4722 W SANGRIA DR, LA PORTE, IN 46350-8410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021136A
IN
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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