Individual
ALLISON CATHERINE CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-1000
Mailing address
30 PARSONS CT, COLDWATER, MI 49036-1118
(517) 677-8221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028792A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26028792A
PHARMACIST LICENSE
IN
Enumeration date
07/08/2020
Last updated
07/08/2020
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