PADEN LONG

CROWN POINT, IN
NPI1659975449
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26028721A)
Additional Taxonomies183500000X Pharmacist
(Licence: IL  051303299)
Enumeration Date2020-11-23
Last Update Date2020-11-23
Business Address
PADEN LONG RPH
100 EAST U.S. 231
CROWN POINT, IN 46307
Phone number: 219-662-8893
Mailing Address
PADEN LONG RPH
904 JORDAN CIR
SCHERERVILLE, IN 46375-2280
Phone number: