Individual provider · Type 1 NPI

Thomas Charles Bergen, PH D

Pharmacist · Lakeland, FL

NPI number 1811235302 Active

Practice location

4730 S Florida Ave
Lakeland, FL 33813-2181

Call (863) 646-5471 Map

Fax (863) 701-0950

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS18109 (FL)

Pharmacist: 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…

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About NPI 1811235302

Thomas Charles Bergen, PH D's National Provider Identifier is 1811235302, issued on Jan 18, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lakeland, FL. The record was last updated on Jan 18, 2013.