Individual
BELLA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10301 IN-37, FORT WAYNE, IN 46835
(260) 492-1310
Mailing address
10301 IN-37, FORT WAYNE, IN 46835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26032090A
IN
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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