Individual
JENNIFER DASELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4400
Mailing address
8524 VALENCIA PL, FORT WAYNE, IN 46835-9127
(260) 492-0109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021211A
IN
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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