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Contact Information

CHARISSE J BACURIO
2347 VETERANS MEMORIAL PKWY S
LAFAYETTE, IN47909-9399
 Phone: 765-477-9391
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for CHARISSE J BACURIO · (Female)

NPI # 1891396933
Status Active
Credentials
Entity Individual
Enumeration date 11/04/2020
Last updated 11/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 26024137A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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