Julie Brisco PHARM D

NPI 1063795847 - Pharmacist - 183500000X

NPI Details
NPI 1063795847
Gender Female
Enumeration Date 09/27/2011
Last Updated 09/27/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
6202 W JEFFERSON BLVD
FORT WAYNE IN, 46804-3073, US
Phone (260) 432-5120
Fax (260) 436-8836
Business Location
6202 W JEFFERSON BLVD
FORT WAYNE IN, 46804-3073, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Indiana
License Number 26020521A
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According to our database, Mrs. Julie Brisco PHARM D NPI is 1063795847, taxonomy code is 183500000X and license number is 26020521A, license state is located at Indiana. Julie Brisco PHARM D physically located at 6202 W Jefferson Blvd, Fort Wayne IN, 46804-3073. NPI Number Julie Brisco PHARM D has the Individual type.

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1063795847 NPI number is provided on an as is basis without warranty of any kind. 1063795847 is maintained by the National Plan & Provider Enumeration System. The contents of Julie Brisco PHARM D are for informational purposes only.