Marion Kuczmanski, Registered Pharmacis
Pharmacist in Granger, IN. Individual provider (NPI-1).
NPI number1366045643
StatusActive
Last updated in NPPESNov 18, 2020
Details
- NPI
- 1366045643
- Entity type
- Individual (NPI-1)
- Name
- Marion Kuczmanski
- Credential
- Registered Pharmacis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2020
- Certification date
- Nov 18, 2020
- Last updated
- Nov 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26013819A | IN | Yes |
Practice location
12194 Ashland St # InGranger, IN 46530-6205
Phone 574-298-1970
Mailing address
12194 Ashland St # InGranger, IN 46530-6205
Phone 574-298-1970
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