Linda Widstrand

NPI 1134413073 - Pharmacist - 183500000X

NPI Details
NPI 1134413073
Gender Female
Enumeration Date 06/08/2011
Last Updated 06/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
9885 WICKER AVE
SAINT JOHN IN, 46373-9413, US
Phone (219) 365-8609
Fax
Business Location
9885 WICKER AVE
SAINT JOHN IN, 46373-9413, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Indiana
License Number 26020103A
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According to our database, Mrs. Linda Widstrand NPI is 1134413073, taxonomy code is 183500000X and license number is 26020103A, license state is located at Indiana. Linda Widstrand physically located at 9885 Wicker Ave, Saint John IN, 46373-9413. NPI Number Linda Widstrand has the Individual type.

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1134413073 NPI number is provided on an as is basis without warranty of any kind. 1134413073 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Widstrand are for informational purposes only.