Mrs Beth Ann Longbrake, in Mishawaka, IN - Pharmacist

Mrs Beth Ann Longbrake, is a Pharmacist - Pharmacotherapy based in Mishawaka, Indiana. Mrs Beth Ann Longbrake is licensed to practice in Indiana (license number 26019104A) and her current practice location is 5020 Grape Rd, Mishawaka, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 273-3533.

NPI number for Mrs Beth Ann Longbrake is 1053721852 and her current mailing address is 5020 Grape Rd, Mishawaka, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053721852.

Contact Information

	Mrs Beth Ann Longbrake,
	5020 Grape Rd, Mishawaka, IN 46545-8708
	(574) 273-3533
	(574) 273-3565

Healthcare Provider's Profile

Full Name	Mrs Beth Ann Longbrake
Gender	Female
Speciality	Pharmacist - Pharmacotherapy
Location	5020 Grape Rd, Mishawaka, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1053721852
Provider Enumeration Date: 05/01/2014
Last Update Date: 05/01/2014

Medical Identifiers

Medical identifiers for Mrs Beth Ann Longbrake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053721852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1835P1200X	Pharmacist - Pharmacotherapy	26019104A (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Beth Ann Longbrake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Beth Ann Longbrake, 5020 Grape Rd, Mishawaka, IN 46545-8708 Ph: () -	Mrs Beth Ann Longbrake, 5020 Grape Rd, Mishawaka, IN 46545-8708 Ph: (574) 273-3533

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Pharmacist in Mishawaka, IN

Broxton Thayne Davis, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 420 W 4th St, Mishawaka, IN 46544 Phone: 574-307-7673
Dr. Monica A Rivers, PHARMD, MBA Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 420 W 4th St, Mishawaka, IN 46544 Phone: 574-307-7673
Mrs. Celia W Yang, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 110 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-255-9664 Fax: 574-255-9772
Stephanie H Mahler, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 574-243-9707 Fax: 574-243-9807
Aishwarya Venkatachalam, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 420 W 4th St, Mishawaka, IN 46544 Phone: 574-307-7685
Miranda Macfarlane, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 611 E Douglas Rd Ste 407, Mishawaka, IN 46545 Phone: 574-335-5000

Mrs Beth Ann Longbrake, - Pharmacist in Mishawaka, IN