Individual
MR. RAYMOND LIWOSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
523 S STATE ROAD 67, MOORESVILLE, IN 46158-2792
(317) 831-2661
Mailing address
523 S STATE ROAD 67, MOORESVILLE, IN 46158-2792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26092003
IN
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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