Individual
MRS. ROXANNE T WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2280 PROVIDENT CT STE D, WARSAW, IN 46580-3284
(574) 267-4900
(574) 267-8028
Mailing address
4107 E POTAWATOMI DR, LEESBURG, IN 46538-9372
(574) 453-2769
(574) 267-8028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018872A
IN
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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