Individual
DR. CHRISTINE MARIE BROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1601 N CASS ST, WABASH, IN 46992-9404
(260) 563-4033
(260) 563-3423
Mailing address
1601 N CASS ST, WABASH, IN 46992-9404
(260) 563-4033
(260) 563-3423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024702A
IN
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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