Individual
JENNIFER LONGENECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6110 E 86TH ST, INDIANAPOLIS, IN 46250-3507
(317) 558-1452
Mailing address
13756 ROSWELL DR, CARMEL, IN 46032-5228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024151A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
26024151A
IN
Other
Enumeration date
11/03/2020
Last updated
07/18/2024
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