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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY MICHAEL FENIMORE, RPH

Active Sole Proprietor

Pharmacist Clinician (PhC) · SOUTH BEND, IN

Registration Details

NPI Number
1295362994
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2020 (6.0962439710396 yrs)
Last Updated
Mar 24, 2020
License
2602798A (IN)
Sole Proprietor
Yes

Practice Information

Address
4526 W WESTERN AVE
SOUTH BEND, IN, 466192302
Browse IN providers · Browse ZIP 46619
Phone
5742880471
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in SOUTH BEND, IN

Name Credential NPI
DR. EDWARD NICHOLAS BATTJES PHARMD 1689966590
DR. JESSICA JEANETTE LYNTON 1205225059
DR. GEVORG MARTIROSYAN PHARMD 1013446566
RYAN LIPINSKI PHARM.D. 1104451798
DR. BENJAMIN ROBERT OLDHAM PHARM.D. 1225632383
MICHELLE SUNWOO LEE 1366105314
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.