Individual
CHRISTINA LOUISE STAYBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 N WAYNE ST, ANGOLA, IN 46703-9102
(260) 665-7033
(260) 665-6831
Mailing address
5280 E 200 N, ANGOLA, IN 46703-9279
(260) 668-1501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016035A
IN
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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