# ADMIRAL MEDICAL SUPPLY, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADMIRAL MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154665750
- **Legal business name:** ADMIRAL MEDICAL GROUP
- **Authorized official:** MR. RASHARD GRAVES (PRESIDENT)
- **Authorized official phone:** (317) 296-7730

## Contact information

- **Practice address:** 8888 KEYSTONE XING, SUITE 1300, INDIANAPOLIS, IN 46240-4609
- **Practice address phone:** (317) 296-7730
- **Practice address fax:** (317) 545-1877
- **Mailing address:** 136 E MARKET ST, SUITE 1110, INDIANAPOLIS, IN 46204-3204
- **Mailing address phone:** (317) 296-7730
- **Mailing address fax:** (317) 545-1877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2012
- **Last updated:** 03/07/2013