Individual
ZAKLINA IVANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8930 CALUMET AVE, MUNSTER, IN 46321-2802
(219) 513-0894
Mailing address
1641 WHITE OAK CIR APT 3B, MUNSTER, IN 46321-3890
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26015989
IN
Other
Enumeration date
09/10/2011
Last updated
09/10/2011
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