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1841347481
FORT WAYNE CUSTOM RX, INC
FORT WAYNE, IN
NPI
1841347481
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Entity Type
Organization
Authorized Contact
GREGORY S RUSSELL
President
260-490-3447
Organization Subpart ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26015397)
Enumeration Date
2007-01-05
Last Update Date
2014-11-12
Business Address
FORT WAYNE CUSTOM RX, INC
425 E DUPONT RD
FORT WAYNE, IN 46825-2051
Phone number: 260-490-3447
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Mailing Address
FORT WAYNE CUSTOM RX, INC
425 E DUPONT RD
FORT WAYNE, IN 46825-2051
Phone number: 260-490-3447
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