NPI 1063869873

Kandus Fortner

Practitioner Pharmacy Technician Pomeroy, OH

Practice location

Address: 706 W Main St, Pomeroy, OH 45769-1224
Phone: (740) 992-6491

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1063869873
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2016
Record last updated: 21 May 2016

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.