Individual
RHEBA JEAN UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
720 W CHICAGO AVE, EAST CHICAGO, IN 46312-3222
(219) 397-6208
(219) 378-1330
Mailing address
2001 WHITCOMB ST, GARY, IN 46404-2617
(219) 944-9520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020572A
IN
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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