Individual
MRS. MONICA LYNN PARKHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BPHARM, R.PH.
Contact information
Practice address
54590 IRONWOOD RD, SOUTH BEND, IN 46635-1617
(574) 968-3717
(574) 314-6916
Mailing address
54590 IRONWOOD RD, SOUTH BEND, IN 46635-1617
(574) 968-3717
(574) 314-6916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017930A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26017930A
STATE LICENSE
IN
Enumeration date
10/11/2011
Last updated
07/21/2022
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