Mrs Beth Ann Longbrake, - Pharmacist in Mishawaka, IN

Mrs Beth Ann Longbrake, is a Pharmacist - Pharmacotherapy based in Mishawaka, Indiana. Mrs Beth Ann Longbrake is licensed to practice in Indiana (license number 26019104A) and her current practice location is 5020 Grape Rd, Mishawaka, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 273-3533.

NPI number for Mrs Beth Ann Longbrake is 1053721852 and her current mailing address is 5020 Grape Rd, Mishawaka, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053721852.

Contact Information

Mrs Beth Ann Longbrake,
5020 Grape Rd,
Mishawaka, IN 46545-8708
(574) 273-3533
(574) 273-3565

Map and Direction


Healthcare Provider's Profile

Full NameMrs Beth Ann Longbrake
GenderFemale
SpecialityPharmacist - Pharmacotherapy
Location5020 Grape Rd, Mishawaka, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053721852
  • Provider Enumeration Date: 05/01/2014
  • Last Update Date: 05/01/2014

Medical Identifiers

Medical identifiers for Mrs Beth Ann Longbrake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053721852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1835P1200XPharmacist - Pharmacotherapy 26019104A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Beth Ann Longbrake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Beth Ann Longbrake,
5020 Grape Rd,
Mishawaka, IN 46545-8708

Ph: () -
Mrs Beth Ann Longbrake,
5020 Grape Rd,
Mishawaka, IN 46545-8708

Ph: (574) 273-3533

Reviews and Comments


Pharmacist in Mishawaka, IN

Broxton Thayne Davis, PHARMD
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