Organization
NORTH ANTHONY PHARMACY & WELLNESS CENTER INC
Active
Other names
North Anthony Pharmacy & Wellness Center Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT LOSIER (OWNER/PRESIDENT)
(812) 320-4000
Entity
Organization
Contact information
Practice address
3537 N ANTHONY BLVD STE A, FORT WAYNE, IN 46805-1423
(260) 373-1083
(260) 739-3927
Mailing address
3537 N ANTHONY BLVD STE A, FORT WAYNE, IN 46805-1423
(260) 373-1083
(260) 739-3927
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006291A
IN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133936
PK
—
Enumeration date
02/28/2012
Last updated
01/20/2017
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