| NPI | 1184736027 |
|---|---|
| Doing Business As | VALPARAISO PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ELTON L VANDERTUIN Owner 219-462-1484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60005539A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 60006597) |
| 333600000X Pharmacy | |
| 333600000X Pharmacy (Licence: IN 60006597) | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-11-15 |