Individual
TARA THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4460
Mailing address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022619A
IN
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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