MANCHESTER UNIVERSITY COLLEGE OF PHARMACY NPI 1285010579

NPI Information

NPI: 1285010579
Provider Name: MANCHESTER UNIVERSITY COLLEGE OF PHARMACY
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 15D2044916

Address:
10627 DIEBOLD RD
FORT WAYNE, IN
ZIP 46845
Phone: (260) 470-2664
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MANCHESTER UNIVERSITY COLLEGE OF PHARMACY is a primary care clinic center in Fort Wayne, IN. MANCHESTER UNIVERSITY COLLEGE OF PHARMACY NPI is 1285010579. The provider is registered as an organization entity type.

The provider's business location address is:

10627 DIEBOLD RD
FORT WAYNE, IN
ZIP 46845-606
Phone: (260) 470-2664

The provider's authorized official is Andrea Wilhite .
The authorized official title is Ambulatory Care Specialist and has the following contact phone number (260) 470-2664.

The CLIA number assigned to this NPI record is 15D2044916 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2015 and was last updated on 8/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	26023835A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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