MEDICARE: HALIE LOUISE ACHOR PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	26029463A	IN

General Provider Information

NPI Number	:	1023787090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALIE LOUISE ACHOR PHARMD

Provider Business Mailing Address
First Line	:	10301 IN-37
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835
Country	:	US
Telephone Number	:	260-494-2958
Fax Number	:

Provider Business Practice Location Address
First Line	:	10301 IN-37
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835-9120
Country	:	US
Telephone Number	:	260-494-2958
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2021
Last Update Date	:	02/21/2026

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Directions to “ HALIE LOUISE ACHOR PHARMD” Practice Location

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