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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY BERGSTROM, PHARM D

Active Sole Proprietor

MARY BERGSTROM, PHARM D is a Pharmacist healthcare provider located in FORT WAYNE, Indiana. NPI 1285234211 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · FORT WAYNE, IN

Registration Details

NPI Number
1285234211
Provider Type
Individual
Gender
Female
NPI Issued
Oct 28, 2020 (5.7851718883677 yrs)
Last Updated
Oct 28, 2020
Licenses
5302030388 (MI)
26020791A (IN)
Sole Proprietor
Yes

Practice Information

Address
6736 LIMA RD
FORT WAYNE, IN, 468181118
Browse IN providers · Browse ZIP 46818
Phone
2604900638
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in FORT WAYNE, IN

Name Credential NPI
MRS. MELISSA JEAN HARTMAN R.PH. 1710975800
DANIEL W. LOVELL R.PH. 1164410205
MRS. LISA ANN NEWNAM RPH 1891707485
MR. THOMAS RICHARD HAUCK RPH 1972617710
VINCENT NMI GARCIA PHARM-D 1740396696
ADRIENNE MEYER 1275649014
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.