Individual
SITORA RUSTAMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 E MAIN ST, VEVAY, IN 47043-9582
(812) 427-3777
Mailing address
5224 SILVERTON LN, LOUISVILLE, KY 40241-1796
(502) 202-0527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030042A
IN
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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