Individual
KAREN SORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
6310 E STATE BLVD, FORT WAYNE, IN 46815-7023
(260) 493-1531
(260) 493-0987
Mailing address
6310 E STATE BLVD, FORT WAYNE, IN 46815-7023
(260) 493-1531
(260) 493-0987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018005
IN
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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