THOMAS RICHARD HAUCK

FORT WAYNE, IN
NPI1972617710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26015632A)
Enumeration Date2006-08-18
Last Update Date2007-07-08
Business Address
Mr. THOMAS RICHARD HAUCK RPH
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
Mr. THOMAS RICHARD HAUCK RPH
4314 HIGHWOOD DR
FORT WAYNE, IN 46815-5963
Phone number: 260-482-9324
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