Individual
JAMES VICTOR COUNTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
330 W STATE BLVD, FORT WAYNE, IN 46808-3135
(260) 482-5428
(260) 484-6355
Mailing address
330 W STATE BLVD, FORT WAYNE, IN 46808-3135
(260) 482-5428
(260) 484-6355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019215A
IN
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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