Individual
AMANDA ROTHGEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 FAIRWEATHER DR, FORT WAYNE, IN 46818-8558
(260) 450-8295
Mailing address
4405 FAIRWEATHER DR, FORT WAYNE, IN 46818-8558
(260) 450-8295
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022919A
IN
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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