Individual
ANITA L UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH CGP
Contact information
Practice address
3113 WINTHROP LN, KOKOMO, IN 46902-4583
(765) 438-1608
(765) 455-6954
Mailing address
3113 WINTHROP LN, KOKOMO, IN 46902-4583
(765) 438-1608
(765) 455-6954
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
26014828A
IN
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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