Individual
DR. ANGELA FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5110 VALUE DR, FORT WAYNE, IN 46808-4048
(260) 481-1110
(260) 481-1101
Mailing address
5110 VALUE DR, FORT WAYNE, IN 46808-4048
(260) 481-1110
(260) 481-1101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025327A
IN
Other
Enumeration date
02/28/2014
Last updated
09/25/2018
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