National Provider Identifier Database

LAURETTE S FRAZIER, PHARMACIST, DSP. – NPI #1609053289
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

LAURETTE S FRAZIER, PHARMACIST, DSP.
2815 E 10TH ST
BLOOMINGTON, IN47408-2601
Phone: 812-679-2207
Fax:
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X
Pastoral 101YP1600X
Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for LAURETTE S FRAZIER

NPI Number 1609053289
Credentials PHARMACIST, DSP.
Entity Individual
Enumeration date 01/26/2008
Last updated 11/18/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 110997
  • IN License #: 197509
  • IN License #: 26015089A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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