Individual
ELIZABETH JO SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4401
Mailing address
12024 GOLDEN HARVEST DR, FORT WAYNE, IN 46845-8996
(260) 312-6893
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022236A
IN
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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