Provider Demographics
NPI:1851685929
Name:BACHMAN, JARED L (RPH)
Entity Type:Individual
Prefix:MR
First Name:JARED
Middle Name:L
Last Name:BACHMAN
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 1:8448 CENTER RUN DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-4505
Mailing Address - Country:US
Mailing Address - Phone:317-595-0432
Mailing Address - Fax:317-595-0432
Practice Address - Street 1:8448 CENTER RUN DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-4505
Practice Address - Country:US
Practice Address - Phone:317-595-0432
Practice Address - Fax:317-595-0432
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021573A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist