NPI 1013520519

Stevan Mizimakoski, RPH

Practitioner Pharmacist Carmel, IN

Practice location

Address: 873 W Carmel Dr, Carmel, IN 46032-5804
Phone: (317) 580-0260

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26020232A (IN)

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Registry record

NPI: 1013520519
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2020
Record last updated: 25 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.