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George A Kountouris, RPh

Pharmacist in Fort Wayne, IN. Individual provider (NPI-1).

NPI number1669960092
StatusActive
Last updated in NPPESMay 1, 2018

Details

NPI
1669960092
Entity type
Individual (NPI-1)
Name
George A Kountouris
Credential
RPh
Sex
Male
Sole proprietor
No
Enumeration date
May 1, 2018
Last updated
May 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist26016778AINYes

Practice location

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Phone 260-266-4409

Mailing address

11109 Parkview Plaza Drive
Inpatient Pharmacy Ll Atten: George
Fort Wayne, IN 46845

Phone 260-266-4409

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