Individual
AWUDU IMORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7502 SOUTHTOWN XING, FORT WAYNE, IN 46816-2515
(260) 441-7083
(260) 441-7085
Mailing address
2732 ASCENSION CT, FORT WAYNE, IN 46818-8537
(260) 206-2811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025898A
IN
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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