Most Relevant Information
Provider Data
| NPI Number: | 1003393232 |
| Provider Name: | SHIRLEY KISOR RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26025788A |
Most Important Dates
| Enumeration Date: | 07/20/2018 |
| Last Updated: | 07/20/2018 |
Provider Practice Location
1316 E 7TH ST
AUBURN
IN
467062538
Practice Location Phone/Fax
| Phone: | 2609202614 |
| Fax: |
Provider Mailing Location
11016 CEDAR TRL
FORT WAYNE
IN
468458993
Provider Mailing Phone/Fax
| Phone: | 4199056624 |
| Fax: |