Individual
SYLVIA M EZRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026637A
IN
1835P2201X
Ambulatory Care Pharmacist
26026637A
IN
Other
Enumeration date
08/19/2019
Last updated
11/25/2024
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