Individual
MR. STEVAN MIZIMAKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
873 W CARMEL DR, CARMEL, IN 46032-5804
(317) 580-0260
Mailing address
873 W CARMEL DR, CARMEL, IN 46032-5804
(317) 580-0260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020232A
IN
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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