Edward Fynn, PharmD
Pharmacist in Granger, IN. Individual provider (NPI-1).
NPI number1336742147
StatusActive
Last updated in NPPESNov 16, 2020
Details
- NPI
- 1336742147
- Entity type
- Individual (NPI-1)
- Name
- Edward Fynn
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2020
- Certification date
- Nov 16, 2020
- Last updated
- Nov 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051302772 | IL | Yes |
| 183500000X | Pharmacist | 26028460A | IN |
Practice location
155 E University DrGranger, IN 46530-4474
Phone 574-243-9042
Mailing address
155 E University DrGranger, IN 46530-4474
Phone 574-243-9042
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