PHILIP MAISH

GOSHEN, IN
NPI1841572732
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26022232A)
Additional Taxonomies183500000X Pharmacist
(Licence: FL  PS27974)
Enumeration Date2011-09-15
Last Update Date2011-09-15
Business Address
-- PHILIP MAISH
429 W PIKE ST
GOSHEN, IN 46526-2362
Phone number: 574-534-7616
Mailing Address
-- PHILIP MAISH
67310 ASHBROOKE DR
GOSHEN, IN 46526-5561
Phone number: