Susan Widup, RPH

NPI #1043644230 in Elkhart, Indiana

Provider Information

NPI Number: 1043644230
Entity Type: Individual
Name: Susan Widup, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 25, 2013
Last Updated: Aug 25, 2013

Practice Location

Address: 3101 NORTHVIEW DR
City: Elkhart
State: Indiana
ZIP Code: 46514-6748
Phone: (574) 266-5582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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