Perkins, Avis Kathleen
Perkins, Avis Kathleen is an individual health care provider with primary practice located at 4025 S Old State Road 37 , Bloomington IN 47401-7482. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Perkins, Avis Kathleen can be contacted via phone (812) 824-5205.Contact Information
Primary practice address
4025 S Old State Road 37
Bloomington IN 47401-7482
Phone: (812) 824-5205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 18021 | Georgia |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS47380 | Florida |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 9602160 | Texas |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 2011011800 | Missouri |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | CV220886 | Indiana |
Profile Details
| NPI number | 1356072292 |
|---|---|
| LBN Legal business name | Perkins, Avis Kathleen |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2022 |
| Last updated | Jun 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356072292 | NPPES |
| Georgia | Other | 18021 | GEORGIA BOARD OF PHARMACY |
| Georgia | Other | 2011011800 | GEORGIA BOARD OF PHARMACY |
| Georgia | Other | PS47380 | GEORGIA BOARD OF PHARMACY |
| Georgia | Other | 9602160 | GEORGIA BOARD OF PHARMACY |
| Georgia | Other | 266570 | GEORGIA BOARD OF PHARMACY |
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