Individual
EDIE RUSSEL TONFACK ZIFACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S TILLOTSON AVE, MUNCIE, IN 47304-4356
(765) 685-1827
Mailing address
201 S TILLOTSON AVE, MUNCIE, IN 47304-4356
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26031097A
IN
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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