Individual
JANET LONSWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4400
Mailing address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022304A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26022304A
STATE BOARD OF PHARMACY, INDIANA
IN
Enumeration date
05/07/2018
Last updated
05/07/2018
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