NPI 1003393232

Shirley Kisor, RPH

Practitioner Pharmacist Auburn, IN

Practice location

Address: 1316 E 7th St, Auburn, IN 46706-2538
Phone: (260) 920-2614
Mailing address: 11016 Cedar Trl, Fort Wayne, IN 46845-8993

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26025788A (IN)

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Registry record

NPI: 1003393232
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2018
Record last updated: 20 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.