LISA ANN WALCZAK THAIN

GRANGER, IN
NPI1427335769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26021574A)
Additional Taxonomies183500000X Pharmacist
(Licence: WI  13440-040)
Enumeration Date2011-11-15
Last Update Date2011-11-15
Business Address
Mrs. LISA ANN WALCZAK THAIN PharmD
155 E UNIVERSITY DR
GRANGER, IN 46530-4474
Phone number: 574-243-9042
Mailing Address
Mrs. LISA ANN WALCZAK THAIN PharmD
155 E UNIVERSITY DR
GRANGER, IN 46530-4474
Phone number: 574-243-9042