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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