Individual
BRENDAN UGWOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30830 OLD US 20, ELKHART, IN 46514-9481
(574) 674-5730
Mailing address
14268 FOX CHASE CT, GRANGER, IN 46530-4951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022310A
IN
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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