Laurel Park

NPI #1144623745 in Plymouth, Indiana

Provider Information

NPI Number
1144623745
Entity Type
Individual
Name
Laurel Park
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Sep 27, 2014
Last Updated
Sep 27, 2014

Practice Location

Address
2014 N MICHIGAN ST
State
Indiana
ZIP Code
46563-1048
Phone
(574) 936-8388

Specialties & Taxonomy Codes

Specialty
Pharmacist

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