REID KENNISON

FORT WAYNE, IN
NPI1902422694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26028592A)
Additional Taxonomies183500000X Pharmacist
(Licence: TN  42542)
Enumeration Date2020-06-18
Last Update Date2020-06-18
Business Address
Dr. REID KENNISON RPh
9030 US HIGHWAY 24 W
FORT WAYNE, IN 46804-4752
Phone number: 260-432-7413
Mailing Address
Dr. REID KENNISON RPh
9030 US HIGHWAY 24 W
FORT WAYNE, IN 46804-4752
Phone number: