NPI 1053915306

Magdaline Mouratides

Practitioner Pharmacist Crown Point, IN

Practice location

Address: 100 E State Road 231, Crown Point, IN 46307-7495
Phone: (219) 662-8854

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26028380A (IN)

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Registry record

NPI: 1053915306
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2020
Record last updated: 27 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.