Search › Indiana › 183500000X
Tara Jellison, PHARMD
NPI 1871082412 · on the registry since 2018 · sole proprietor
Practice
- Address
- 11109 Parkview Plaza Drive -- Attn Pharmacy
Fort Wayne, IN 46845 - Phone
- (260) 266-4404
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana