Individual
HEATHER KOUNTOURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1730
(260) 266-4480
Mailing address
807 ISLAND COVE CT, FORT WAYNE, IN 46845-2060
(260) 804-4886
(260) 266-4487
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26020019A
IN
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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