Individual
KATHRYN BONNET THAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4120 N CLINTON ST, FORT WAYNE, IN 46805-1230
(260) 483-3185
Mailing address
5534 BUCKFIELD CT, FORT WAYNE, IN 46814-7523
(260) 403-5975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016303A
IN
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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