Provider Demographics
NPI:1457990129
Name:PFLUEGER, GABRIELLE (RPH)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:PFLUEGER
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 1:5810 OLD VINCENNES RD
Mailing Address - Street 2:
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-9434
Mailing Address - Country:US
Mailing Address - Phone:812-987-7380
Mailing Address - Fax:
Practice Address - Street 1:3400 GRANT LINE RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2135
Practice Address - Country:US
Practice Address - Phone:812-948-1399
Practice Address - Fax:812-948-1095
Is Sole Proprietor?:No
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021420A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist