Individual
MRS. CAROLYN ANN PERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 PINE LAKE S.C., LAPORTE, IN 46350
(219) 325-3152
(219) 325-0443
Mailing address
2714 S. COLLINS DRIVE, LAPORTE, IN 46350
(219) 363-5478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019921A
IN
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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