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Fort Wayne Custom Rx, Inc
Pharmacist in Fort Wayne, Indiana
NPI 1841347481

Fort Wayne Custom Rx, Inc is a Pharmacist based in Fort Wayne, IN. Fort Wayne Custom Rx, Inc practices in Fort Wayne, IN. The NPI Number for Fort Wayne Custom Rx, Inc is 1841347481 and holds a License No. 26015397 (Indiana).

The current practice location address for Fort Wayne Custom Rx, Inc is 425 E Dupont Rd, Fort Wayne, IN and can be reached out via phone at 260-490-3447 and via fax at 260-490-3457. You can also correspond with Fort Wayne Custom Rx, Inc through the mailing address at 425 E DUPONT RD, FORT WAYNE, IN - 46825-2051 (mailing address contact number: 260-490-3447).

Location: 425 E Dupont Rd, Fort Wayne, IN, 46825-2051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841347481
Provider Name
Fort Wayne Custom Rx, Inc
Credential
Provider Entity Type
Organization
Address
425 E Dupont Rd, Fort Wayne, IN, 46825-2051
Phone Number
260-490-3447
Fax Number
260-490-3457
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IN2083 01 IN MEDICARE MASS IMMUNIZATION (ROSTER BILLING)
201228830A 05 IN
institution
Provider Business Practice Location Address Details
Address
425 E Dupont Rd
City
Fort Wayne
State
Indiana
Zip
46825-2051
Phone Number
260-490-3447
Fax Number
260-490-3457
person
Provider Business Mailing Address Details
Address
425 E Dupont Rd
City
Fort Wayne
State
Indiana
Zip
46825-2051
Phone Number
260-490-3447
Fax Number
260-490-3457
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
26015397 (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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