Individual
ELISA OSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2101 E IRELAND RD, SOUTH BEND, IN 46614-9156
(574) 291-1303
Mailing address
1514 TALL GRASS PRAIRIE DR, MISHAWAKA, IN 46544-6864
(574) 315-8335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026785A
IN
Other
Enumeration date
06/07/2020
Last updated
06/07/2020
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