Individual
HERBERT TYRONE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-3400
Mailing address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26017932A
IN
1835P1200X
Pharmacotherapy Pharmacist
Primary
26017932A
IN
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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