Provider Demographics
NPI:1639943467
Name:FROSSARD, ADRIENNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:FROSSARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6214 SAW MILL DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-6560
Mailing Address - Country:US
Mailing Address - Phone:317-308-0556
Mailing Address - Fax:
Practice Address - Street 1:6214 SAW MILL DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-6560
Practice Address - Country:US
Practice Address - Phone:317-308-0556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26023010A183500000X
IN23023010A1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy