person
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. You can also correspond with Gevorg Martirosyan through the mailing address at 707 E CEDAR ST., SUITE 200, SOUTH BEND, IN - 46617-2057 (mailing address contact number: 574-335-8700).

Location: 5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2057
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
tick
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
State
Zip
46545-1469
Phone Number
574-335-3110
Fax Number
574-948-5461
person
Provider Business Mailing Address Details
Address
707 E Cedar St., Suite 200
City
State
Zip
46617-2057
Phone Number
574-335-8700
Fax Number
574-335-0741
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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