Valparaiso Professional Pharmacy,p.c.
NPI #1710420153 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1710420153
- Entity Type
- Organization
- Organization Name
- Valparaiso Professional Pharmacy,p.c.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 1, 2016
- Last Updated
- Dec 1, 2016
Practice Location
- Address
- 2101 ROOSEVELT RD
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-2747
- Phone
- (219) 462-1485
Authorized Official
- Name
- ELTON LEE VANDER TUIN, PHARM.D.
- Title
- PRESIDENT
- Phone
- (219) 462-1485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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