Fort Wayne Custom Rx, Inc

NPI 1841347481 - Pharmacist - 183500000X

NPI Details
NPI 1841347481
Enumeration Date 01/05/2007
Last Updated 11/12/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY S GREGORY
Position PRESIDENT
Phone (260) 490-3447
Fax (260) 490-3457
Practice Location
425 E DUPONT RD
FORT WAYNE IN, 46825-2051, US
Phone (260) 490-3447
Fax (260) 490-3457
Business Location
425 E DUPONT RD
FORT WAYNE IN, 46825-2051, US
Phone (260) 490-3447
Fax (260) 490-3457
Toxanomy
Taxonomy Code 183500000X
License State Indiana
License Number 26015397
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According to our database, Fort Wayne Custom Rx, Inc NPI is 1841347481, taxonomy code is 183500000X and license number is 26015397, license state is located at Indiana. Fort Wayne Custom Rx, Inc physically located at 425 E Dupont Rd, Fort Wayne IN, 46825-2051. NPI Number 1033115704 has the healthcare provider type.

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1841347481 NPI number is provided on an as is basis without warranty of any kind. 1841347481 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Wayne Custom Rx, Inc are for informational purposes only.