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Organization
GREATER LAFAYETTE HEALTH SERVICES
Active
Organization
GREATER LAFAYETTE HEALTH SERVICES
Active
Other names
St. Elizabeth East Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MILLER (PHARMACY DIRECTOR)
(765) 502-4500
Entity
Organization
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4500
(765) 502-4501
Mailing address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4500
(765) 502-4501
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60006211A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562847
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/22/2010
Last updated
01/22/2010
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