Individual
JON KNECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2802 E STATE BLVD, FORT WAYNE, IN 46805-4733
(260) 471-5521
Mailing address
2802 E STATE BLVD, FORT WAYNE, IN 46805-4733
(260) 443-2102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2604189A
IN
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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