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Mr. Gervasis Manuel, PHARMD
Pharmacist in South Bend, Indiana
NPI 1235262395

Gervasis Manuel is a Pharmacist based in Niles, IN. Gervasis Manuel practices in South Bend, IN and has the professional credentials of PHARMD. The NPI Number for Gervasis Manuel is 1235262395 and holds a License No. 5302035864 (Indiana).

The current practice location address for Gervasis Manuel is 2845 W Cleveland Rd, South Bend, IN and can be reached out via phone at 574-277-1538.

Location: 2845 W Cleveland Rd, South Bend, IN, 49120-3136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235262395
Provider Name
Gervasis Manuel
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
2845 W Cleveland Rd, South Bend, IN, 49120-3136
Phone Number
574-277-1538
Fax Number
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5302035864 01 MI LICENSE
26022347A 01 IN LICENCE
051291744 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
2845 W Cleveland Rd
City
South Bend
State
Indiana
Zip
46628-6188
Phone Number
574-277-1538
Fax Number
person
Provider Business Mailing Address Details
Address
2845 W Cleveland Rd
City
South Bend
State
Indiana
Zip
46628-6188
Phone Number
574-277-1538
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302035864 (Michigan)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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