Individual
SHIVANI BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4480
Mailing address
8911 LIBERTY MILLS RD, FORT WAYNE, IN 46804-6311
(260) 266-4510
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26029344A
IN
Other
Enumeration date
10/01/2021
Last updated
01/11/2024
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