| NPI | 1225422181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HOARD Executive Director 317-871-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: IN 60005678A) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IN 60005678A) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-07-18 |