SAMUEL JOSEPH POLINA

FORT WAYNE, IN
NPI1336828532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26030345A)
Additional Taxonomies183500000X Pharmacist
(Licence: MI  5302414462)
Enumeration Date2023-07-14
Last Update Date2023-07-14
Business Address
SAMUEL JOSEPH POLINA
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-4480
Mailing Address
SAMUEL JOSEPH POLINA
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-4480