Fort Wayne Custom Rx, Inc in Fort Wayne - Pharmacist
Fort Wayne Custom Rx, Inc - NPI 1841347481
Fort Wayne Custom Rx, Inc is a Pharmacist in Fort Wayne, Indiana. Fort Wayne Custom Rx, Inc practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Fort Wayne Custom Rx, Inc is 1841347481. The last update date is 2014-11-12.
Fort Wayne Custom Rx, Inc's current location address is 425 E Dupont Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604903447 and fax number 2604903457. The mailing address for Fort Wayne Custom Rx, Inc is 425 E Dupont Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Wayne Custom Rx, Inc |
|---|---|
| Address | 425 E Dupont Rd, Fort Wayne, Indiana |
| Phone Number | 2604903447 |
| Fax Number | 2604903457 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Russell S Gregory |
| Credentials | PHARM. D |
| Telephone Number | 2604903447 |
NPI Number Detail
| NPI Number | 1841347481 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2014-11-12 |
Provider Mailing Address Detail
| Address | 425 E Dupont Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468252051 |
| Phone Number | 2604903447 |
| Fax Number | 2604903457 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 26015397 |
|
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 m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IN2083 | IN | MEDICARE MASS IMMUNIZATION (RO | |
| 201228830A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Fort Wayne Custom Rx, Inc?
The Fort Wayne Custom Rx, Inc has been issued the NPI (National Provider Identifier) 1841347481 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Fort Wayne Custom Rx, Inc's physical address?
The Fort Wayne Custom Rx, Inc is physically located at 425 E Dupont Rd, in the city of Fort Wayne, IN, with the postal code 468252051.
What is Fort Wayne Custom Rx, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fort Wayne Custom Rx, Inc is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
When did the Fort Wayne Custom Rx, Inc receive its 1841347481?
The Fort Wayne Custom Rx, Inc was issued its 1841347481 on 2007-01-05, which is the date when the organization was assigned this unique identifier.
When was the information related to Fort Wayne Custom Rx, Inc most recently updated or refreshed?
The details pertaining to the Fort Wayne Custom Rx, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-11-12.
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