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Organization
CHARLES KENT STEMBEL ESTATE
Active
Organization
CHARLES KENT STEMBEL ESTATE
Active
Other names
Dennys Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI STEMBEL (ESTATE ADMINISTRATOR)
(765) 884-1520
Entity
Organization
Contact information
Practice address
500 S GRANT AVE, FOWLER, IN 47944-1636
(765) 884-1520
(765) 884-8329
Mailing address
500 S GRANT AVE, FOWLER, IN 47944-1636
(765) 884-1520
(765) 884-8329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
26015054A
IN
3336C0003X
Community/Retail Pharmacy
26015054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100293940
—
IN
Enumeration date
09/22/2010
Last updated
09/22/2010
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