NPI 1194009381

Andrew J Kasianchuk, RPH

Practitioner Pharmacist Crown Point, IN

Practice location

Address: 651 Harvest CT, Crown Point, IN 46307-2954
Phone: (219) 662-1695

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26014063A (IN)

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Registry record

NPI: 1194009381
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2011
Record last updated: 5 Oct 2011

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.