Individual
GABRIELLE OCTAVIA CARREON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, MSPGX
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-9195
Mailing address
2105 S WASHINGTON ST, MARION, IN 46953-3069
(765) 506-1885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030932A
IN
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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