Individual
MONICA ELAINE STRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6279 E STATE BLVD, FORT WAYNE, IN 46815-7641
(260) 492-0951
Mailing address
9332 ARUNDEL RUN, FORT WAYNE, IN 46835-9114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024102A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26024102A
PHARMACIST LICENSE
IN
Enumeration date
11/21/2020
Last updated
11/21/2020
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