Autumn Pancake

Pharmacist · Boonville, IN

Individual Active NPI

NPI number 1699503540

Practice location

1115 American Way
Boonville, IN 47601-8604
Phone
(812) 897-0089

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NPI record

NPI
1699503540
Entity type
Individual (Type 1)
Enumeration date
July 23, 2024
Last updated
July 23, 2024
Certified
July 23, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 26030832A IN

About Autumn Pancake

Autumn Pancake is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1115 American Way, Boonville, IN 47601-8604. The NPI number 1699503540 was assigned on July 23, 2024 and the record was last updated on July 23, 2024.

Autumn Pancake lists a license in the registry: #26030832A (IN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Autumn Pancake?

The NPI number is 1699503540.

What is the phone number of Autumn Pancake?

The phone number listed for the practice location is (812) 897-0089.

Where is Autumn Pancake located?

1115 American Way, Boonville, IN 47601-8604.

What is the taxonomy code for Autumn Pancake?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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