Individual
MS. DEBORAH SUE ROOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4120 N CLINTON ST, FORT WAYNE, IN 46805-1230
(260) 483-3185
(260) 969-5929
Mailing address
5510 MONARCH DR, FORT WAYNE, IN 46815-7438
(260) 385-2467
(260) 969-5929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016076
IN
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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