Individual
ANSAM SAWALHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 MAIN ST, ROCHESTER, IN 46975-2659
(574) 223-4114
Mailing address
1910 MAIN ST, ROCHESTER, IN 46975-2659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028518A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26028518A
PHARMACIST
IN
Enumeration date
11/22/2020
Last updated
11/22/2020
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