Provider Demographics
NPI:1891531596
Name:BARGER, MICHAEL JEREMY (PHARMD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JEREMY
Last Name:BARGER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8543 TWINCREEK DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-4037
Mailing Address - Country:US
Mailing Address - Phone:937-657-8985
Mailing Address - Fax:
Practice Address - Street 1:10101 LANDING WAY
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-1159
Practice Address - Country:US
Practice Address - Phone:937-384-4220
Practice Address - Fax:937-384-4221
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03444353183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist