IndividualActive
Bailey Berelsman
NPI 1104505965 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Marion, IN
Provider details
- NPI number
- 1104505965
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26030355A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
441 N Wabash Ave
Marion, IN 46952-2612
Phone: (765) 665-6020
Fax: (765) 665-6020
Approximate (ZIP-level) locationGet directions
Mailing address
11963 Turtle Creek Ct
Fort Wayne, IN 46818-8572
Registry dates
- Enumerated
- 2023-07-17
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.