Individual
ADAM WYATT THOMAS-FENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
700 US HIGHWAY 31 S, GREENWOOD, IN 46143-2401
(317) 883-0567
Mailing address
212 NEWSOM AVE, COLUMBUS, IN 47201-5172
(812) 341-9640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029542A
IN
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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