Healthcare Provider Details

I. General information

NPI: 1386551513
Provider Name (Legal Business Name): RENEE BELLMAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1185 N 1000 W
LINTON IN
47441-5282
US

IV. Provider business mailing address

3818 E WELLS LN
BLOOMFIELD IN
47424-6102
US

V. Phone/Fax

Practice location:
  • Phone: 812-847-5227
  • Fax: 812-847-6137
Mailing address:
  • Phone: 812-699-1328
  • Fax: 812-847-6137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26018211A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: