Individual
MR. JAMES PHILLIP BERNAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
14625 N GRAY RD, WESTFIELD, IN 46062-9274
(317) 815-6619
(317) 815-6681
Mailing address
14625 N GRAY RD, WESTFIELD, IN 46062-9274
(317) 815-6619
(317) 815-6681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26019018A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26019081A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26019018A
STATE LICENSE NUMBER
IN
Enumeration date
06/11/2012
Last updated
02/09/2022
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