John Michael Vanhulle, rph
Pharmacist in South Bend, IN. Individual provider (NPI-1).
NPI number1164028056
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1164028056
- Entity type
- Individual (NPI-1)
- Name
- John Michael Vanhulle
- Credential
- rph
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2020
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26013426a | IN | Yes |
Practice location
1333 Portage AveSouth Bend, IN 46616-1509
Phone 574-234-7190 · Fax 574-287-1045
Mailing address
1333 Portage AveSouth Bend, IN 46616-1509
Phone 574-234-7190
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