Individual
HANNAH ELIZABETH DAVIS
Active
Sole proprietor
Yes
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
5299 LYNDELL AVE, PORTAGE, IN 46368-1847
(219) 743-3269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030935A
IN
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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