Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Beth Ann Longbrake

Individual provider Pharmacotherapy Pharmacist · NPI 1053721852

Mrs. Beth Ann Longbrake is a Pharmacotherapy Pharmacist in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014

Practice location Address checks out

5020 Grape Rd
Mishawaka, IN 46545-8708
Phone: (574) 273-3533
Fax: (574) 273-3565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence 26019104A (IN)

Record details

NPI number1053721852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2014
Last updated in NPPESMay 1, 2014

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