IndividualActive
Beth Longbrake
NPI 1053721852 · Pharmacotherapy Pharmacist · Mishawaka, IN
Provider details
- NPI number
- 1053721852
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 26019104A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
5020 Grape Rd
Mishawaka, IN 46545-8708
Phone: (574) 273-3533
Fax: (574) 273-3565
Approximate (ZIP-level) locationGet directions
Mailing address
5020 Grape Rd
Mishawaka, IN 46545-8708
Registry dates
- Enumerated
- 2014-05-01
- Last updated
- 2014-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.