Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TATIANA VASILIEVNA GRAHAM, PHARMACIST
Active Sole ProprietorTATIANA VASILIEVNA GRAHAM, PHARMACIST is a Long-Term Care Pharmacy healthcare provider located in ELKHART, Indiana. NPI 1184260713 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · ELKHART, IN
Registration Details
- NPI Number
- 1184260713
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2019 (6.7015597585025 yrs)
- Last Updated
- Dec 21, 2022
- Licenses
-
26023521A (IN)26023521A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
901 JOHNSON STELKHART, IN, 465143329Browse IN providers · Browse ZIP 46514
- Phone
- 5742645996
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
- Additional Specialty
- Long-Term Care Pharmacy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.