Individual
MISS RANYA BOUZOU-KADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
13060 ADAMS, GRANGER, IN 46530
(574) 243-5468
Mailing address
16184 GUMWOOD CROSSING DR, GRANGER, IN 46530
(574) 273-9250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019704A
IN
183500000X
Pharmacist
5302029008
MI
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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