Individual
IVNY MASHAVIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 W MARKLAND AVE, KOKOMO, IN 46901-6110
(765) 457-4407
Mailing address
610 W MARKLAND AVE, KOKOMO, IN 46901-6110
(765) 457-4407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45025045A
IN
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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