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Individual

MR. BRENT ALAN LOSIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
3537 N ANTHONY BLVD, SUITE A, FORT WAYNE, IN 46805-1423
(260) 373-1083
Mailing address
3515 N COUNTY LINE RD W, HUNTERTOWN, IN 46748-9489
(812) 320-4000

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018627A
IN

Other

Enumeration date
01/11/2016
Last updated
01/11/2016
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