DALE A BULTEMEIER

FORT WAYNE, IN
NPI1457579088
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26014654)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
Mr. DALE A BULTEMEIER RPh
8101 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4163
Phone number: 260-969-2418
Mailing Address
Mr. DALE A BULTEMEIER RPh
13328 PLUMBAGO CT
FORT WAYNE, IN 46814-8843
Phone number: 260-969-2418