Individual
ANTHONY J GUIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1710 APPLE GLEN BLVD, FORT WAYNE, IN 46804-1725
(260) 432-9330
Mailing address
5340 E 800 S, COLUMBIA CITY, IN 46725-9248
(260) 433-4066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018488A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26018488A
STATE PHARMACY LICENSE
IN
Enumeration date
09/20/2019
Last updated
09/20/2019
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