Individual
TIA JOVANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 FORT HARRISON RD, TERRE HAUTE, IN 47804-1522
(812) 466-6545
Mailing address
2140 FORT HARRISON RD, TERRE HAUTE, IN 47804-1522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022303A
IN
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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