Individual
ANDREW CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2803 E STATE BLVD, FORT WAYNE, IN 46805-4732
(260) 483-3169
(260) 483-3160
Mailing address
2803 E STATE BLVD, FORT WAYNE, IN 46805-4732
(260) 483-3169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026145A
IN
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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