Individual
RUAA ALANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 E STATE BLVD, FORT WAYNE, IN 46805-4733
(260) 471-5521
Mailing address
2802 E STATE BLVD, FORT WAYNE, IN 46805-4733
(260) 471-5521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026941A
IN
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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