Organization
DENNYS PHARMACY
Active
Organization
DENNYS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT STEMBEL (OWNER)
(765) 583-4395
Entity
Organization
Contact information
Practice address
30 S MAIN ST, OTTERBEIN, IN 47970-0482
(765) 583-4395
(765) 884-8329
Mailing address
PO BOX 482, OTTERBEIN, IN 47970-0482
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60003935
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100293950A
—
IN
01
—
1524657
OTHER ID NUMBER
—
Enumeration date
07/14/2006
Last updated
07/10/2008
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