Individual provider · Type 1 NPI
Jay Harvey Bormann, RPH.
Pharmacist · Fort Wayne, IN
Practice location
4522 Maplecrest Rd
Fort Wayne, IN 46835-3970
Fax (260) 485-3993
Mailing address
6316 Drakes Bay Run
Fort Wayne, IN 46835-9613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 26016180A (IN) |
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 1962620591
Jay Harvey Bormann, RPH.'s National Provider Identifier is 1962620591, issued on Apr 20, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.