Individual
MRS. MARYLOU CECELIA METTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1900 CAREW ST STE 4, FORT WAYNE, IN 46805-4765
(260) 373-9775
(260) 373-9789
Mailing address
1900 CAREW ST STE 4, FORT WAYNE, IN 46805-4765
(260) 373-9775
(260) 373-9789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26015690A
KS
183500000X
Pharmacist
Primary
2601569A
IN
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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