Individual provider · Type 1 NPI

David Leo Thacker, PharmD

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

NPI number 1477801066 Active

Practice location

6101 N. Keystone Ave
Indianapolis, IN 46220-2488

Call (317) 454-7505 Map

Fax (317) 454-7515

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X0202206395 (VA)
Pharmacist 183500000XRP0006855 (WV)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X26023537A (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.

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About NPI 1477801066

David Leo Thacker, PharmD's National Provider Identifier is 1477801066, issued on Aug 29, 2012. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 29, 2012.