Individual provider · Type 1 NPI

Jackie Dee Brogie, PharmD

Student in an Organized Health Care Education/Training Program · Mishawaka, IN

NPI number 1861078743 Active

Practice location

611 E Douglas Rd Ste 412
Mishawaka, IN 46545-1468

Call (574) 335-6514 Map

Fax (574) 335-0772

Mailing address

722 9th Ave W
Hendersonville, NC 28791-3418

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861078743

Jackie Dee Brogie, PharmD's National Provider Identifier is 1861078743, issued on Mar 22, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mishawaka, IN. The record was last updated on Mar 22, 2021.