Individual
DR. CHARLES CROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4160
(260) 435-7441
Mailing address
11207 DELL LOCH WAY, FORT WAYNE, IN 46814-8124
(419) 340-4914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03127430
OH
183500000X
Pharmacist
Primary
26026348A
IN
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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