Hostetler's Store INC

NPI #1790762938 in Shipshewana, Indiana

Provider Information

NPI Number
1790762938
Entity Type
Organization
Organization Name
Hostetler's Store INC
Primary Specialty
Pharmacist
Enumeration Date
Dec 29, 2005
Last Updated
May 27, 2008

Practice Location

Address
CORNER MAIN AND MORTON ST
State
Indiana
ZIP Code
46565
Phone
(260) 768-4882

Authorized Official

Name
JERRALD L. HOSTETLER
Title
OWNER
Phone
(260) 768-4882

Specialties & Taxonomy Codes

Specialty
Pharmacist

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