| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEN BERGER-SHOULDERS | 1043814973 | 2020-11-22 |
Ken Berger-shoulders is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043814973. Registration indicates Ken Berger-shoulders is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Ken Berger-shoulders PHARMACIST |
| Practice Office Address | 2020 E MORGAN AVE EVANSVILLE, IN US |
| Practice Office Telephone | 8124226330 |
| Mailing Address | 2020 E MORGAN AVE EVANSVILLE, IN 477114310 US |
| Business Telephone | 8124226330 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 26017563A
IN |