Individual
JERRY EUGENE FALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9817 CHAPMANS BLVD, FORT WAYNE, IN 46835-9194
(260) 399-5102
Mailing address
9817 CHAPMANS BLVD, FORT WAYNE, IN 46835-9194
(260) 399-5102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26012781A
IN
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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