Individual
DR. RANSFORD YAYRA DJISAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
104 W HIVELY AVE, ELKHART, IN 46517-2113
(574) 293-2231
Mailing address
104 W HIVELY AVE, ELKHART, IN 46517-2113
(574) 293-2231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027010A
IN
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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