| NPI | 1851754873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TRZASKUS Pharmacist 219-972-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 26023951a) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |