MARY BERGSTROM

FORT WAYNE, IN
NPI1285234211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26020791A)
Additional Taxonomies183500000X Pharmacist
(Licence: MI  5302030388)
Enumeration Date2020-10-28
Last Update Date2020-10-28
Business Address
MARY BERGSTROM Pharm D
6736 LIMA RD
FORT WAYNE, IN 46818-1118
Phone number: 260-490-0638
Mailing Address
MARY BERGSTROM Pharm D
6736 LIMA RD
FORT WAYNE, IN 46818-1118
Phone number: 260-490-0638