Individual
GUINEVERE DIADEM OGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2631 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 918-4320
Mailing address
243 MEADOWBROOK DR, SPRINGVILLE, IN 47462-5464
(812) 583-3117
(812) 583-3117
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26025513A
IN
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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