Individual
MRS. KIMBERLY ANN SUNDERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10412 COLDWATER RD, FORT WAYNE, IN 46845-1233
(260) 637-0847
(260) 637-2728
Mailing address
10412 COLDWATER RD, FORT WAYNE, IN 46845-1233
(260) 637-0847
(260) 637-2728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019357A
IN
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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