Healthcare Provider Details

I. General information

NPI: 1053752089
Provider Name (Legal Business Name): LINDSEY FIERRO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2013
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 E DISCOVERY PKWY
BLOOMINGTON IN
47408-9059
US

IV. Provider business mailing address

2651 E DISCOVERY PKWY
BLOOMINGTON IN
47408-9059
US

V. Phone/Fax

Practice location:
  • Phone: 812-353-3499
  • Fax: 812-353-3497
Mailing address:
  • Phone: 812-353-3499
  • Fax: 812-353-3497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26025103A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: