Individual
DENNIS L. MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST, R.PH.
Contact information
Practice address
918 EAST FORT WAYNE STREET, WARSAW, IN 46580-3435
(574) 267-2774
Mailing address
918 EAST FORT WAYNE STREET, WARSAW, IN 46580-3435
(574) 267-2774
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
26012530A
IN
183500000X
Pharmacist
Primary
26012530A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26012530A
PHARMACIST, LICENSE INDIANA
IN
Enumeration date
05/18/2010
Last updated
07/22/2014
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