Doctor Name: | ANITA L UPCHURCH |
NPI Number: | 1043538739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPH CGP |
License Number: | 26014828A |
Business Practice Address: | 3113 Winthrop Ln Kokomo, IN - 469024583 |
Business Phone Number: | 7654381608 |
Business Fax Number: | 7654556954 |
Mailing Address: | 3113 Winthrop Ln, KOKOMO |
State: | IN |
Postal Code: | 469024583 |
Phone Number: | 7654381608 |
Fax Number: | 7654556954 |
NPI Enumeration Date: | 05/05/2010 |
NPI Last Update Date: | 05/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 26014828A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |