Healthcare Provider Details

I. General information

NPI: 1467056523
Provider Name (Legal Business Name): SARA BIELA PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2020
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 CHICAGO AVE
GOSHEN IN
46526-2311
US

IV. Provider business mailing address

209 CHICAGO AVE
GOSHEN IN
46526-2311
US

V. Phone/Fax

Practice location:
  • Phone: 574-534-9223
  • Fax:
Mailing address:
  • Phone: 574-534-9223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26028506A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: