Individual
AMANDA OSENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4225 HOBSON RD, FORT WAYNE, IN 46815-4506
(260) 422-7510
Mailing address
8415 CINNABAR CT, FORT WAYNE, IN 46835-9643
(419) 203-4244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023212A
IN
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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