Individual
DR. ANDREW JASON BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6309 LIMA RD, FORT WAYNE, IN 46818-1425
(260) 497-1033
(260) 497-1065
Mailing address
11226 MORNING GLORY PASS, HARLAN, IN 46743-7553
(260) 437-9001
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26026041A
IN
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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