# CIRCLE CITY PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083188973
- **Authorized official:** JACK R WELLS JR. RPH (CEO)
- **Authorized official phone:** (317) 696-6668

## Contact information

- **Practice address:** 65 E GARNER RD STE 200, BROWNSBURG, IN 46112-7867
- **Practice address phone:** (800) 211-6540
- **Practice address fax:** (800) 211-6540
- **Mailing address:** 65 E GARNER RD STE 200, BROWNSBURG, IN 46112-7867
- **Mailing address phone:** (800) 211-6540
- **Mailing address fax:** (800) 211-6540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/14/2019
- **Last updated:** 01/14/2019