Individual
CARRIE ANN DUNNEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
7355 HERITAGE SQUARE DR, GRANGER, IN 46530-5643
(574) 807-8222
Mailing address
52318 AVANELLE ST, GRANGER, IN 46530-9196
(574) 271-7570
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
67001957A
IN
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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