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
- City
- Shipshewana
- 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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