Individual
ANDREW LONGMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3918 S CALHOUN ST, FORT WAYNE, IN 46807-2408
(260) 744-2310
Mailing address
3918 S CALHOUN ST, FORT WAYNE, IN 46807-2408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023719A
IN
Other
Enumeration date
06/19/2012
Last updated
05/13/2014
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