AMELIA MARIE HOLLOWAY

FORT WAYNE, IN
NPI1861575565
Former NameAMELIA MARIE YACKUS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26020045A)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
-- AMELIA MARIE HOLLOWAY PharmD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
-- AMELIA MARIE HOLLOWAY PharmD
227 NW PASSAGE TRL
FORT WAYNE, IN 46825-2083
Phone number: 260-497-7309
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