Individual
AMANDA J ANSPACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7330 LIMA RD, FORT WAYNE, IN 46818-1130
(260) 489-6064
(260) 490-6544
Mailing address
7330 LIMA RD, FORT WAYNE, IN 46818-1130
(260) 489-6064
(260) 490-6544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021952A
IN
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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