MR. James Brent Ksenak, RPH

NPI #1063796639 in Chesterton, Indiana

Provider Information

NPI Number
1063796639
Entity Type
Individual
Name
MR. James Brent Ksenak, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Sep 30, 2011
Last Updated
Sep 30, 2011

Practice Location

Address
580 INDIAN BOUNDARY RD
State
Indiana
ZIP Code
46304-1515
Phone
(219) 395-8583

Specialties & Taxonomy Codes

Specialty
Pharmacist

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