MEDICARE: GABRIELLE PFLUEGER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	26021420A	IN

General Provider Information

NPI Number	:	1457990129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE PFLUEGER RPH

Provider Business Mailing Address
First Line	:	5810 OLD VINCENNES RD
Second Line	:
City	:	FLOYDS KNOBS
State	:	IN
Zip	:	47119-9434
Country	:	US
Telephone Number	:	812-987-7380
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 GRANT LINE RD
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-2135
Country	:	US
Telephone Number	:	812-948-1399
Fax Number	:	812-948-1095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2019
Last Update Date	:	12/30/2019

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