Individual
CHRISTINA LEE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10420 MAYSVILLE RD, FORT WAYNE, IN 46835-9762
(260) 492-5799
(260) 492-5827
Mailing address
10420 MAYSVILLE RD, FORT WAYNE, IN 46835-9762
(260) 492-5799
(260) 492-5827
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03316015
OH
183500000X
Pharmacist
Primary
26017162A
IN
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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