Tatiana Vasilievna Graham, PHARMACIST - Pharmacist in Elkhart, IN

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.

Contact Information

Tatiana Vasilievna Graham, PHARMACIST
901 Johnson St,
Elkhart, IN 46514-3329
(574) 264-5996
Not Available

Healthcare Provider's Profile

Full NameTatiana Vasilievna Graham
GenderFemale
SpecialityPharmacy - Community/retail Pharmacy
Location901 Johnson St, Elkhart, Indiana
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1184260713NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 26023521A (Indiana)Secondary
3336C0003XPharmacy - 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 AddressPractice 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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› Verified 5 days ago


Pharmacy in Elkhart, IN


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