NPI 1356987325

Robert Fred Sausaman

Practitioner Pharmacist Columbia City, IN

Practice location

Address: 621 Country Side Dr, Columbia City, IN 46725-1101
Phone: (260) 248-4572
Mailing address: 340 E 200 S, Columbia City, IN 46725-9778

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26012346A (IN)

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Registry record

NPI: 1356987325
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Nov 2019
Record last updated: 25 Nov 2019

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.