Healthcare Provider Details

I. General information

NPI: 1952437378
Provider Name (Legal Business Name): BRENT P. MCFARLAND SR. R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 N COLLEGE AVE
INDIANAPOLIS IN
46202-1715
US

IV. Provider business mailing address

10245 LOTHBURY CIR
FISHERS IN
46037-8483
US

V. Phone/Fax

Practice location:
  • Phone: 317-924-6351
  • Fax: 317-924-3634
Mailing address:
  • Phone: 317-796-4176
  • Fax: 317-927-3634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26017860A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: