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Mary Bergstrom, PHARMD
Pharmacist in Fort Wayne, Indiana
NPI 1285234211

Mary Bergstrom is a Pharmacist based in Fort Wayne, IN. Mary Bergstrom practices in Fort Wayne, IN and has the professional credentials of PHARMD. The NPI Number for Mary Bergstrom is 1285234211 and holds a License No. 5302030388 (Indiana).

The current practice location address for Mary Bergstrom is 6736 Lima Rd, Fort Wayne, IN and can be reached out via phone at 260-490-0638.

Location: 6736 Lima Rd, Fort Wayne, IN, 46818-1118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285234211
Provider Name
Mary Bergstrom
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
6736 Lima Rd, Fort Wayne, IN, 46818-1118
Phone Number
260-490-0638
Fax Number
Provider Enumeration Date
10/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6736 Lima Rd
City
Fort Wayne
State
Indiana
Zip
46818-1118
Phone Number
260-490-0638
Fax Number
person
Provider Business Mailing Address Details
Address
6736 Lima Rd
City
Fort Wayne
State
Indiana
Zip
46818-1118
Phone Number
260-490-0638
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302030388 (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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