Individual
PAIGE GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4463
Mailing address
11170 RILLITO LN UNIT 204, FORT WAYNE, IN 46845-2080
(614) 329-9195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029280A
IN
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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