Individual
MICHAEL ELTZROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
625 E UNIVERSITY DR, GRANGER, IN 46530-7381
(574) 401-7014
Mailing address
625 E UNIVERSITY DR, GRANGER, IN 46530-7381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017515A
IN
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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