Individual
NDIFREKE AMAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 WALLEN HILLS DR APT 2, FORT WAYNE, IN 46825-7061
(336) 457-0850
Mailing address
624 WALLEN HILLS DR APT 2, FORT WAYNE, IN 46825-7061
(336) 457-0850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025795A
IN
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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