Individual
ADAORA EZENEKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
15005 STATE ROAD 23, GRANGER, IN 46530-9666
(574) 271-2553
Mailing address
50673 LAKESIDE DR, GRANGER, IN 46530-4932
(630) 210-1198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023556A
IN
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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