Individual
MR. JERMEL E GOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6510 COLUMBIA AVE, HAMMOND, IN 46320-2748
(219) 931-3332
(219) 852-9201
Mailing address
3675 VIRGINIA ST, GARY, IN 46409-1354
(219) 742-0064
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023408A
IN
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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