Kelli Renae Poulimenos in Fort Wayne - Pharmacist
Kelli Renae Poulimenos - NPI 1093900979
Kelli Renae Poulimenos is a Pharmacist in Fort Wayne, Indiana. Kelli Renae Poulimenos practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kelli Renae Poulimenos is 1093900979. The last update date is 2007-09-13.
Kelli Renae Poulimenos's current location address is 7950 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604357441 and fax number 2604357609. The mailing address for Kelli Renae Poulimenos is 7950 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli Renae Poulimenos |
|---|---|
| Address | 7950 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604357441 |
| Fax Number | 2604357609 |
| Sole Proprietor | Y |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1093900979 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
| Address | 7950 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468044140 |
| Phone Number | 2604357441 |
| Fax Number | 2604357609 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 26021727A |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelli Renae Poulimenos by the Centers for Medicare & Medicaid Services?
The Kelli Renae Poulimenos has been assigned the NPI (National Provider Identifier) 1093900979. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kelli Renae Poulimenos is geographically located?
The Kelli Renae Poulimenos is physically situated at the following location: 7950 W Jefferson Blvd, Fort Wayne, IN, 468044140.
What is the Kelli Renae Poulimenos's specialty and taxonomy code?
The Kelli Renae Poulimenos's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Kelli Renae Poulimenos receive its 1093900979 assignment from the Centers for Medicare & Medicaid Services?
The Kelli Renae Poulimenos was assigned its 1093900979 by the Centers for Medicare & Medicaid Services on 2007-09-13.
As of what date were the Kelli Renae Poulimenos's details last updated?
The information pertaining to the Kelli Renae Poulimenos, including its address, specialty, and other details, was most recently updated on 2007-09-13.