Provider Demographics
NPI:1093315988
Name:DARNELL, BRIAN SCOTT
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:SCOTT
Last Name:DARNELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 JOHN WILLIAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421-9153
Mailing Address - Country:US
Mailing Address - Phone:812-275-0415
Mailing Address - Fax:
Practice Address - Street 1:3200 JOHN WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-9153
Practice Address - Country:US
Practice Address - Phone:812-275-0415
Practice Address - Fax:812-275-0375
Is Sole Proprietor?:No
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017223A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist