Individual
LYNN BECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10105 LIMA RD, FORT WAYNE, IN 46818-8657
(260) 490-6522
Mailing address
11022 LONE EAGLE CT, FORT WAYNE, IN 46845-1171
(812) 779-7364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023241A
IN
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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