Individual
MR. ANTHONY BRUCE AWISHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4005 W KILGORE AVE, MUNCIE, IN 47304-4815
(765) 286-6337
Mailing address
13137 STAR CIR, FISHERS, IN 46037-5980
(317) 770-0674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020967A
IN
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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