Individual
SAMANTHA CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2990 N WAYNE ST, ANGOLA, IN 46703-9121
(260) 668-1133
Mailing address
2990 N WAYNE ST, ANGOLA, IN 46703-9121
(260) 668-1133
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26024705A
IN
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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