Individual
VICTOR JOHN ELSASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11109 PARKVIEW PLAZA DRIVE, PHARMACY DEPT, FORT WAYNE, IN 46845
(260) 266-4472
Mailing address
11109 PARKVIEW PLAZA DRIVE, PHARMACY DEPT, FORT WAYNE, IN 46845
(260) 266-4472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26091990A
IN
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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