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Gevorg Martirosyan, PHARMD
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1013446566

Gevorg Martirosyan is a Student in an Organized Health Care Education/Training Program based in South Bend, IN. Gevorg Martirosyan practices in Mishawaka, IN and has the professional credentials of PHARMD. The NPI Number for Gevorg Martirosyan is 1013446566 and holds a License No. (Indiana).

The current practice location address for Gevorg Martirosyan is 5215 Holy Cross Pkwy, Mishawaka, IN and can be reached out via phone at 574-335-3110 and via fax at 574-948-5461.

Location: 5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013446566
Provider Name
Gevorg Martirosyan
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2057
Phone Number
574-335-3110
Fax Number
574-948-5461
Provider Enumeration Date
06/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 IN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-3110
Fax Number
574-948-5461
person
Provider Business Mailing Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-3110
Fax Number
574-948-5461
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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