Most Relevant Information
Provider Data
| NPI Number: | 1003410945 |
| Provider Name: | ANDREA SZOSTEK-KRUPA |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26023273A |
Most Important Dates
| Enumeration Date: | 11/22/2020 |
| Last Updated: | 11/22/2020 |
Provider Practice Location
2210 EDISON RD
SOUTH BEND
IN
466153514
Practice Location Phone/Fax
| Phone: | 5744723239 |
| Fax: |
Provider Mailing Location
2210 EDISON RD
SOUTH BEND
IN
466153514
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |