BRIAN THOMAS MCDONOUGH

GARY, IN
NPI1326238700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26017473A)
Enumeration Date2007-07-31
Last Update Date2007-07-31
Business Address
Mr. BRIAN THOMAS MCDONOUGH RPh
805 S LAKE ST
GARY, IN 46403-2918
Phone number: 219-938-4857
Mailing Address
Mr. BRIAN THOMAS MCDONOUGH RPh
12705 MORNING DOVE DR
CEDAR LAKE, IN 46303-8607
Phone number: 219-374-8824
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