Provider Demographics
NPI:1669019279
Name:SPRANGER, JENNY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:
Last Name:SPRANGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:YEVGENIYA
Other - Middle Name:
Other - Last Name:PERELMUTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:960 ORLANDO ST
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1044
Mailing Address - Country:US
Mailing Address - Phone:317-319-5373
Mailing Address - Fax:
Practice Address - Street 1:13640 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1358
Practice Address - Country:US
Practice Address - Phone:317-846-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-02
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26026901A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist