Individual
COREY NICOLE UETRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-9194
Mailing address
9217 BOBCAT TRL, LEO, IN 46765-9380
(260) 414-4043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030993A
IN
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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