Individual
RACHEL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-3400
Mailing address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024756A
IN
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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