Individual
EZZA IFTIKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
873 W CARMEL DR, CARMEL, IN 46032-5804
(317) 580-0260
Mailing address
4472 EVERGREEN TRL, CARMEL, IN 46074-7761
(317) 373-4922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027362A
IN
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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