Individual
NATHANIEL WAYNE SCHREIBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2016 N WAYNE ST, ANGOLA, IN 46703-9102
(260) 665-7033
Mailing address
9612 KILDARE XING, FORT WAYNE, IN 46835-9368
(260) 205-0459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028733A
IN
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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