NPI 1003779331

Caleb Andrew Mossburg, PHARMD

Practitioner Pharmacist Fort Wayne, IN

Practice location

Address: 2121 Lake Ave, Fort Wayne, IN 46805-5100
Phone: (260) 426-5431

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26030775A (IN)

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Registry record

NPI: 1003779331
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2025
Record last updated: 4 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.