Provider Demographics
NPI:1215210331
Name:BARTHOLOMAI, ABIGAIL JANE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:JANE
Last Name:BARTHOLOMAI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3871 HIGHLAND LAKE DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47122-9758
Mailing Address - Country:US
Mailing Address - Phone:812-923-0412
Mailing Address - Fax:812-923-0622
Practice Address - Street 1:200 LAFOLLETTE STA S
Practice Address - Street 2:
Practice Address - City:FLOYDS KNOBS
Practice Address - State:IN
Practice Address - Zip Code:47119-9776
Practice Address - Country:US
Practice Address - Phone:812-923-0412
Practice Address - Fax:812-923-0622
Is Sole Proprietor?:No
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26019624A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist