Colton Frauhiger

Individual provider Active NPI Pharmacist · Bluffton, IN

NPI 1366068157 · NPPES record last updated Jun 17, 2020

Key facts

NPI
1366068157
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
26028706A (IN)
Practice address
1975 N Main St
Bluffton, IN 46714-1182
Phone
(260) 824-1643
NPI assigned
Jun 17, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26028706AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Jun 21, 2020
Accepting new patients
Walgreen Co Past
since Jun 21, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26028706A IN Yes

Addresses

Primary practice location

1975 N Main St
Bluffton, IN 46714-1182

Mailing address

1975 N Main St
Bluffton, IN 46714-1182
Phone (260) 824-1643

Other providers in Bluffton, IN

All providers in Bluffton, IN · Pharmacist in Indiana

Sources for this page

Verify at the official NPI Registry.