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Individual

MR. DAVID P SPEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
431 FERNHILL AVE, FORT WAYNE, IN 46805-1039
(260) 484-4442
(260) 482-3717
Mailing address
13736 S COUNTY LINE RD W, ROANOKE, IN 46783-9609
(260) 638-4319
(260) 482-3717

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26017349A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
450855
CORAM NAPB #
Enumeration date
08/23/2013
Last updated
08/23/2013
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