Individual
DR. NICOLE LYNN LOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3801 COLDWATER RD, FORT WAYNE, IN 46805-1101
(260) 470-6361
(260) 470-6371
Mailing address
327 N WASHINGTON ST, VAN WERT, OH 45891-1258
(419) 203-9944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028368A
IN
Other
Enumeration date
08/17/2021
Last updated
07/18/2023
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