Provider Demographics
NPI:1134131253
Name:BAILEY, DARIN (RPH)
Entity Type:Individual
Prefix:MR
First Name:DARIN
Middle Name:
Last Name:BAILEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9650 W STATE ROAD 56
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47138-7132
Mailing Address - Country:US
Mailing Address - Phone:812-273-7513
Mailing Address - Fax:812-265-0589
Practice Address - Street 1:621 WEST ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-3344
Practice Address - Country:US
Practice Address - Phone:812-273-7513
Practice Address - Fax:812-265-0589
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26018546A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist