Individual
CHRISTOPHER L VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5110 VALUE DR, FORT WAYNE, IN 46808-4048
(260) 481-1100
Mailing address
5110 VALUE DR, FORT WAYNE, IN 46808-4048
(260) 481-1100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014857A
IN
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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