Individual
MR. STANLEY JAMES VOTAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
1040 TWIN LAKES DR, DECATUR, IN 46733-2610
(260) 724-3325
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
26014636
IN
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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