Individual
ALICIA MARIE LOVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
130 W HIVELY AVE, ELKHART, IN 46517-2113
(574) 294-6092
(574) 294-6102
Mailing address
130 W HIVELY AVE, ELKHART, IN 46517-2113
(574) 294-6092
(574) 294-6102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023220A
IN
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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