Healthcare Provider Details

I. General information

NPI: 1982290078
Provider Name (Legal Business Name): NANCY MARIA BIXLER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 12/14/2020
Certification Date: 12/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11750 COMMERCIAL DR
FISHERS IN
46038-2903
US

IV. Provider business mailing address

11750 COMMERCIAL DR
FISHERS IN
46038-2903
US

V. Phone/Fax

Practice location:
  • Phone: 317-845-4962
  • Fax:
Mailing address:
  • Phone: 317-845-4962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26017962A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: