Organization
OFFERLE APOTHECARY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA SUE WRIGHT (PRESIDENT)
(260) 424-6743
Entity
Organization
Contact information
Practice address
2413 HOBSON RD, FORT WAYNE, IN 46805-2917
(260) 424-6743
(260) 422-1855
Mailing address
2413 HOBSON RD, FORT WAYNE, IN 46805-2917
(260) 424-6743
(260) 422-1855
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0022263670021
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100293460
—
IN
Enumeration date
08/17/2005
Last updated
05/09/2011
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