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Nathan Lyle Wiedemann
Pharmacist in Fort Wayne, Indiana
NPI 1518485796

Nathan Lyle Wiedemann is a Pharmacist based in Fort Wayne, IN. Nathan Lyle Wiedemann practices in Fort Wayne, IN. The NPI Number for Nathan Lyle Wiedemann is 1518485796 and holds a License No. 26027384A (Indiana).

The current practice location address for Nathan Lyle Wiedemann is 11932 Lima Rd, Fort Wayne, IN and can be reached out via phone at 260-637-6667.

Location: 11932 Lima Rd, Fort Wayne, IN, 46818-8658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518485796
Provider Name
Nathan Lyle Wiedemann
Credential
Provider Entity Type
Individual
Gender
Male
Address
11932 Lima Rd, Fort Wayne, IN, 46818-8658
Phone Number
260-637-6667
Fax Number
Provider Enumeration Date
09/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11932 Lima Rd
City
Fort Wayne
State
Indiana
Zip
46818-8658
Phone Number
260-637-6667
Fax Number
person
Provider Business Mailing Address Details
Address
11932 Lima Rd
City
Fort Wayne
State
Indiana
Zip
46818-8658
Phone Number
260-637-6667
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
26027384A (Indiana)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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