Individual
DR. JERUSAH KWAMBOKA OKWOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3805 S KEYSTONE AVE, INDIANAPOLIS, IN 46227-3540
(317) 786-3485
Mailing address
8616 GULF DR APT B, FORT WAYNE, IN 46825-6621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029143A
IN
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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