| NPI | 1548215031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA K. STEPHENS CEO 317-578-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IN 60004797A) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IN 60004797B) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IN 60004797A) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-01-06 |