Organization
K MART PHARMACY #9354
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TRZASKUS RPH (PHARMACIST)
(219) 972-0364
Entity
Organization
Contact information
Practice address
430 W RIDGE RD, GRIFFITH, IN 46319-1018
(219) 972-0364
(847) 396-3229
Mailing address
430 W RIDGE RD, GRIFFITH, IN 46319-1018
(219) 972-0364
(847) 396-3229
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26023951A
IN
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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