Individual provider · Type 1 NPI

Jerry Walter Frederick, RPH

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Bloomington, IN

NPI number 1033759899 Active

Practice location

4025 S Old State Road 37
Bloomington, IN 47401-7482

Call (812) 824-5205 Map

Fax (812) 824-5207

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X26012786A (IN)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

5 other providers at this address

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About NPI 1033759899

Jerry Walter Frederick, RPH's National Provider Identifier is 1033759899, issued on Jan 9, 2020. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Bloomington, IN. The record was last updated on Jan 9, 2020.