Bernatowicz, Edward Glenn

Bernatowicz, Edward Glenn is an individual health care provider with primary practice located at 2600 Greenwood Rd , Shreveport LA 71103-3908. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Bernatowicz, Edward Glenn can be contacted via phone (318) 212-4170.

Contact Information

Primary practice address
2600 Greenwood Rd Shreveport LA 71103-3908
Phone: (318) 212-4170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PST.010749 Louisiana

Profile Details

NPI number 1427508456
LBN Legal business name Bernatowicz, Edward Glenn
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2016
Last updated Oct 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427508456 NPPES
Louisiana Other PST.010749 LOUISIANA STATE PHARMACIST LICENSE NUMBER

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