# GUARDIAN PHARMACY OF INDIANAPOLIS LTC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Guardian Pharmacy of Indiana
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154676476
- **Authorized official:** STEVE PIEPENBRINK (PRESIDENT)
- **Authorized official phone:** (866) 320-4669

## Contact information

- **Practice address:** 6530 CORPORATE DR, INDIANAPOLIS, IN 46278-2915
- **Practice address phone:** (317) 452-4669
- **Practice address fax:** (866) 320-4744
- **Mailing address:** PO BOX 11407, DEPT \# 2421, BIRMINGHAM, AL 35246-2421
- **Mailing address phone:** (404) 810-0089
- **Mailing address fax:** (404) 810-0094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 60006311A | IN | Yes |

## Other

- **Enumeration date:** 07/24/2012
- **Last updated:** 02/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201081960A | — | IN |
| 01 | — | 2136626 | PK | — |