Individual provider · Type 1 NPI

Kelli Renae Poulimenos, PharmD

Pharmacist · Fort Wayne, IN

NPI number 1093900979 Active

Practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Fax (260) 435-7609

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26021727A (IN)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1093900979

Kelli Renae Poulimenos, PharmD's National Provider Identifier is 1093900979, issued on Sep 13, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 13, 2007.