Healthcare Provider Details

I. General information

NPI: 1851393557
Provider Name (Legal Business Name): DON ALAN BERLEKAMP PHARMD, BCPS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 CHERRY ST
TOLEDO OH
43608-2603
US

IV. Provider business mailing address

903 PINE ST
PERRYSBURG OH
43551-1634
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-4216
  • Fax:
Mailing address:
  • Phone: 419-874-6401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03214055
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: