Organization
MANCHESTER UNIVERSITY COLLEGE OF PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA WILHITE PHARMD (AMBULATORY CARE SPECIALIST)
(260) 470-2664
Entity
Organization
Contact information
Practice address
10627 DIEBOLD RD, FORT WAYNE, IN 46845-8606
(260) 470-2664
Mailing address
10627 DIEBOLD RD, FORT WAYNE, IN 46845-8606
(260) 470-2664
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26023835A
IN
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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