| NPI | 1518403443 |
|---|---|
| Doing Business As | INDIANA PREMIER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GHADA EL-BOLKINY Pharmacy Manger 317-828-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60006418A) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |