Individual
JENNA DEININGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4428
(260) 266-4463
Mailing address
1525 BENHAM DR, FORT WAYNE, IN 46815-8320
(260) 385-2828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028258A
IN
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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