Individual provider · Type 1 NPI

Augustine Ehimen Iriogbe

Pharmacist · Granger, IN

NPI number 1386068765 Active

Practice location

15005 State Road 23
Granger, IN 46530-9666

Call (574) 271-2553 Map

Mailing address

3929 Irish Hills Dr Apt 1A
South Bend, IN 46614-6529

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26025218A (IN)
Pharmacist 183500000X21927 (IA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1386068765

Augustine Ehimen Iriogbe's National Provider Identifier is 1386068765, issued on Feb 6, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Granger, IN. The record was last updated on Feb 6, 2014.