Individual
SCOTT ANGLEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
429 W PIKE ST, GOSHEN, IN 46526-2362
(574) 534-7616
Mailing address
67725 COUNTY ROAD 31, GOSHEN, IN 46526-9497
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26012079A
IN
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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