James Brent Ksenak RPH

NPI 1063796639 - Pharmacist - 183500000X

NPI Details
NPI 1063796639
Gender Male
Enumeration Date 09/30/2011
Last Updated 09/30/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
580 INDIAN BOUNDARY RD
CHESTERTON IN, 46304-1515, US
Phone (219) 395-8583
Fax (219) 395-9692
Business Location
580 INDIAN BOUNDARY RD
CHESTERTON IN, 46304-1515, US
Phone (219) 395-8583
Fax (219) 395-9692
Toxanomy
Taxonomy Code 183500000X
License State Indiana
License Number 26013818A
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According to our database, Mr. James Brent Ksenak RPH NPI is 1063796639, taxonomy code is 183500000X and license number is 26013818A, license state is located at Indiana. James Brent Ksenak RPH physically located at 580 Indian Boundary Rd, Chesterton IN, 46304-1515. NPI Number James Brent Ksenak RPH has the Individual type.

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1063796639 NPI number is provided on an as is basis without warranty of any kind. 1063796639 is maintained by the National Plan & Provider Enumeration System. The contents of James Brent Ksenak RPH are for informational purposes only.