Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tatiana Vasilievna Graham, PHARMACIST

Individual provider Pharmacist · NPI 1184260713

Tatiana Vasilievna Graham, PHARMACIST is a Pharmacist in Elkhart, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

901 Johnson St
Elkhart, IN 46514-3329
Phone: (574) 264-5996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 26023521A (IN)
Pharmacist Taxonomy 183500000X · Licence 26023521A (IN)

Record details

NPI number1184260713
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedNovember 19, 2019
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

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