Individual
DR. CALVIN REGINALD DUBOSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5802 S ANTHONY BLVD, FORT WAYNE, IN 46816-3702
(260) 456-5518
Mailing address
5802 S ANTHONY BLVD, FORT WAYNE, IN 46816-3702
(260) 456-5518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030086A
IN
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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