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Individual

ELENA UGWOKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
175 COUNTY ROAD 6 W, ELKHART, IN 46514-5557
(574) 266-7459
(574) 266-7461
Mailing address
14268 FOX CHASE CT, GRANGER, IN 46530-4951
(574) 387-9706

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026434A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26026434A
PHARMACY
IN
Enumeration date
10/28/2020
Last updated
10/28/2020
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