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DR. EDEM Y ATAKEY PHARM D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1902206170

Individual Registrant:
DR. EDEM Y ATAKEY PHARM D
Gender: M
Sole Proprietor

Location and contact information for practice:
907 LINCOLN HWY W  NEW HAVEN, IN 46774-2141 US
Tel: 260-493-3736  Fax: --

Contact information for business:
5641 ULLYOT DR  FORT WAYNE, IN 46804-2119 US
Tel: 774-386-1710  Fax: --

Registration Information:
NPI: 1902206170
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
IN26025802A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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