Individual
MRS. PRAGNA ANIL PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2500 GRANT ST, GARY, IN 46404-3508
(219) 949-1055
Mailing address
2500 GRANT ST, GARY, IN 46404-3508
(219) 949-1055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
018017
GA
183500000X
Pharmacist
051.292871
IL
183500000X
Pharmacist
Primary
26019759A
IN
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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