Individual
DR. CARTER STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2990 N WAYNE ST, ANGOLA, IN 46703-9121
(260) 668-1110
Mailing address
2990 N WAYNE ST, ANGOLA, IN 46703-9121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028662A
IN
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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