Tatiana Vasilievna Graham, PHARMACIST is a
Pharmacy - Community/retail Pharmacy based in Elkhart, Indiana. Tatiana Vasilievna Graham is licensed to practice in Indiana (license number 26023521A) and her current practice location is
901 Johnson St, Elkhart, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 264-5996.
NPI number for Tatiana Vasilievna Graham is 1184260713 and her current mailing address is 71210 Indiana Lake Dr, Union, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184260713.
Healthcare Provider's Profile
Full Name | Tatiana Vasilievna Graham |
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Gender | Female |
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Speciality | Pharmacy - Community/retail Pharmacy |
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Location | 901 Johnson St, Elkhart, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184260713
- Provider Enumeration Date: 11/19/2019
- Last Update Date: 12/21/2022
Medical Identifiers
Medical identifiers for Tatiana Vasilievna Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184260713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 26023521A (Indiana) | Secondary |
3336C0003X | Pharmacy - Community/retail Pharmacy | 26023521A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tatiana Vasilievna Graham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tatiana Vasilievna Graham, PHARMACIST 71210 Indiana Lake Dr, Union, MI 49130 Ph: (574) 265-9640 | Tatiana Vasilievna Graham, PHARMACIST 901 Johnson St, Elkhart, IN 46514-3329 Ph: (574) 264-5996 |
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