MEDICARE: DR. JUDY T CHEN PHARM.D., BCPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	26021295A	IN

General Provider Information

NPI Number	:	1124026943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDY T CHEN PHARM.D., BCPS

Provider Business Mailing Address
First Line	:	1001 W 10TH ST
Second Line	:	WISHARD HEALTH SERVICES, MYERS W7555
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-2859
Country	:	US
Telephone Number	:	317-613-2315
Fax Number	:	317-613-2316

Provider Business Practice Location Address
First Line	:	1001 W 10TH ST
Second Line	:	WISHARD HEALTH SERVICES, MYERS W7555
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-2859
Country	:	US
Telephone Number	:	317-613-2315
Fax Number	:	317-613-2316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	05/27/2010

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