BRENDA LEE HARTER

FORT WAYNE, IN
NPI1376033639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26016240A)
Additional Taxonomies183500000X Pharmacist
(Licence: OH  03317216)
Enumeration Date2018-05-12
Last Update Date2018-05-12
Business Address
BRENDA LEE HARTER
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-3469
Mailing Address
BRENDA LEE HARTER
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4699
Phone number: 260-373-3469