| NPI | 1508465873 |
|---|---|
| Doing Business As | INDIANA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUNIL KUMAR SARVEPALLI Managing Member 248-687-9459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-03-22 |