Individual
MR. TODD LEROY REX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
601 E DUPONT RD, FORT WAYNE, IN 46825-2055
(260) 637-6115
(260) 637-6817
Mailing address
11834 GRABILL RD, LEO, IN 46765-9702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14100
AZ
183500000X
Pharmacist
Primary
26019884A
IN
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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