Individual
MRS. ALEXANDRA DENISE MOORE LIJEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6730 BLUFFTON RD, FORT WAYNE, IN 46809-2649
(260) 747-7563
(260) 747-1909
Mailing address
6730 BLUFFTON RD, FORT WAYNE, IN 46809-2649
(260) 747-7563
(260) 747-1909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023286A
IN
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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