Individual
DR. TRACY LEIGH BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-4045
(260) 672-4517
Mailing address
13717 PUFF RD, FORT WAYNE, IN 46845-9682
(260) 615-5539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
26020072A
IN
1835N1003X
Nutrition Support Pharmacist
26020072A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
26020072A
IN
1835P1200X
Pharmacotherapy Pharmacist
Primary
26020072A
IN
208VP0000X
Pain Medicine Physician
26020072A
IN
Other
Enumeration date
02/25/2018
Last updated
05/01/2026
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