| NPI | 1770819872 |
|---|---|
| Doing Business As | YOUNG AT HEART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BARRY HART Managing Partner 317-213-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60006208A) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MN 265197) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: OH NRP.022459650-12) | |
| 333600000X Pharmacy (Licence: WA PHNR.FO.60319761) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2022-01-20 |