Healthcare Provider Details

I. General information

NPI: 1811784549
Provider Name (Legal Business Name): BRIAN COCHRAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N SENATE BLVD # C6
INDIANAPOLIS IN
46202-1239
US

IV. Provider business mailing address

8368 BIGHORN CT
FISHERS IN
46038-4449
US

V. Phone/Fax

Practice location:
  • Phone: 317-962-8112
  • Fax: 317-962-9090
Mailing address:
  • Phone: 317-445-8589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number26021119A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: