Individual
DR. BRYAN MERIWETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2410 N COLISEUM BLVD, FORT WAYNE, IN 46805-3110
(260) 483-5612
Mailing address
2410 N COLISEUM BLVD, FORT WAYNE, IN 46805-3110
(260) 483-5612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051291297
IL
183500000X
Pharmacist
Primary
26022714A
IN
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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