Individual
AMY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 LIMA RD, FORT WAYNE, IN 46818-1425
(616) 307-9658
Mailing address
6309 LIMA RD, FORT WAYNE, IN 46818-1425
(260) 615-0366
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26016612
IN
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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