Individual
RYAN JENKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5750 OUTER BANK RD, INDIANAPOLIS, IN 46239-6910
(317) 496-6180
Mailing address
5750 OUTER BANK RD, INDIANAPOLIS, IN 46239-6910
(317) 496-6180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024706A
IN
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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