Individual
NITA MARIE LA FOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 395-8100
Mailing address
5385 N 400 W, LA PORTE, IN 46350-7536
(219) 324-9904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016430A
IN
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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