Individual
MRS. TERESA M ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5096 E 105TH LN, CROWN POINT, IN 46307-7610
(219) 662-7947
Mailing address
5096 E 105TH LN, CROWN POINT, IN 46307-7610
(219) 662-7947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014942
IN
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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