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Organization
ILLUMINATE HEALTH INC
Active
Organization
ILLUMINATE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE MAE GAHIMER HYSLOP PHARMD (PHARMACIST)
(317) 512-5459
Entity
Organization
Contact information
Practice address
12400 N MERIDIAN ST STE 150, CARMEL, IN 46032-6990
(312) 605-2390
Mailing address
12400 N MERIDIAN ST STE 150, CARMEL, IN 46032-6990
(312) 605-2390
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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