Randy James Jennings
NPI #1043595689 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1043595689
- Entity Type
- Individual
- Name
- Randy James Jennings
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 14, 2011
- Last Updated
- Oct 14, 2011
Practice Location
- Address
- 923 NORTHCREST BUSINESS CENTER
- Address 2
- 6-D
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805
- Phone
- (260) 484-8542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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