Individual
KAITLYN BROKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
831 N MAIN ST, MONTICELLO, IN 47960-1757
(574) 583-8220
Mailing address
831 N MAIN ST, MONTICELLO, IN 47960-1757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028833A
IN
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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