Individual
DR. BENNETT KYLE CHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2410 N COLISEUM BLVD, FORT WAYNE, IN 46805-3110
(260) 483-5612
Mailing address
2410 N COLISEUM BLVD, FORT WAYNE, IN 46805-3110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023345A
IN
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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