Poulimenos, Kelli Renae
Poulimenos, Kelli Renae is an sole proprietor health care provider with primary practice located at 7950 W Jefferson Blvd , Fort Wayne IN 46804-4140. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Poulimenos, Kelli Renae can be contacted via phone (260) 435-7441.Contact Information
Primary practice address
7950 W Jefferson Blvd
Fort Wayne IN 46804-4140
Phone: (260) 435-7441
Fax: (260) 435-7609
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 26021727A | Indiana |
Profile Details
NPI number | 1093900979 |
---|---|
LBN Legal business name | Poulimenos, Kelli Renae |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 13th, 2007 |
Last updated | Sep 13th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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