Individual
AUGUSTINE EHIMEN IRIOGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15005 STATE ROAD 23, GRANGER, IN 46530-9666
(574) 271-2553
Mailing address
3929 IRISH HILLS DR APT 1A, SOUTH BEND, IN 46614-6529
(563) 343-8468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
21927
IA
183500000X
Pharmacist
Primary
26025218A
IN
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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