Individual
ALISON SHUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W STATE BLVD, FORT WAYNE, IN 46808-3135
(260) 482-5428
Mailing address
330 W STATE BLVD, FORT WAYNE, IN 46808-3135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030412A
IN
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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