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NPI Code Detail

MEDICARE: SUSAN DEAN HERMANN RPH

MEDICARE: SUSAN DEAN HERMANN RPH
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
1183500000XPharmacist26014933AIN
21835P1200XPharmacotherapy Pharmacist26014933AIN

General Provider Information

NPI Number : 1629351010
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN DEAN HERMANN RPH
Provider Business Mailing Address
First Line : 5990 W BRYANTS CREEK RD
Second Line :
City : MARTINSVILLE
State : IN
Zip : 46151-9328
Country : US
Telephone Number : 765-349-6198
Fax Number :
Provider Business Practice Location Address
First Line : 455 E EPLER AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-1902
Country : US
Telephone Number : 317-788-6671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2011
Last Update Date : 04/19/2026

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Directions to “ SUSAN DEAN HERMANN RPH” Practice Location

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