Austin Mitchell Herzog

NPI #1033937297 in West Lafayette, Indiana

Provider Information

NPI Number
1033937297
Entity Type
Individual
Name
Austin Mitchell Herzog
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Sep 27, 2024
Last Updated
Sep 27, 2024

Practice Location

Address
575 STADIUM MALL DR
State
Indiana
ZIP Code
47907-2091
Phone
(765) 494-1374

Specialties & Taxonomy Codes

Specialty
Pharmacist

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