Provider Demographics
NPI:1730427535
Name:BERNARD, ANDREW R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:R
Last Name:BERNARD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 70 BOX 30
Mailing Address - Street 2:#2014-1 PHS HOUSING; 1 MILE NORTH ON NAVAJO RT-16
Mailing Address - City:TONALEA
Mailing Address - State:AZ
Mailing Address - Zip Code:86044-9610
Mailing Address - Country:US
Mailing Address - Phone:928-209-6427
Mailing Address - Fax:928-672-3005
Practice Address - Street 1:HC 70 BOX 30
Practice Address - Street 2:#2014-1 PHS HOUSING; 1 MI. N. ON NAVAJO RT-16
Practice Address - City:TONALEA
Practice Address - State:AZ
Practice Address - Zip Code:86044
Practice Address - Country:US
Practice Address - Phone:928-209-6427
Practice Address - Fax:928-672-3005
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35967183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist