Individual
JUDY A POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3701 PORTAGE AVE, SOUTH BEND, IN 46628-6098
(574) 243-5849
(574) 243-1605
Mailing address
1265 FLEMING ST APT 706, GRANGER, IN 46530-1508
(630) 849-7002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027344A
IN
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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