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1225700990
SHIVANI BHAKTA
FORT WAYNE, IN
NPI
1225700990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835P2201X Pharmacist, Ambulatory Care
(Licence: IN 26029344A)
Enumeration Date
2021-10-01
Last Update Date
2024-01-11
Business Address
SHIVANI BHAKTA
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-4480
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Mailing Address
SHIVANI BHAKTA
8911 LIBERTY MILLS RD
FORT WAYNE, IN 46804-6311
Phone number: 260-266-4510
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