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Individual

ANNA LEIGH MADEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
6001 CENTRAL AVE, PORTAGE, IN 46368-3506
(219) 762-8030
Mailing address
13801 W 93RD AVE, SAINT JOHN, IN 46373-3115
(219) 616-4858

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028295A
IN

Other

Enumeration date
06/24/2020
Last updated
06/24/2020
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