Individual
JERILYN RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 COLDWATER RD, FORT WAYNE, IN 46805-1101
(260) 470-6361
(260) 470-6371
Mailing address
3801 COLDWATER RD, FORT WAYNE, IN 46805-1101
(260) 470-6361
(260) 470-6371
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67024878A
IN
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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