# INDIANA REGIONAL MEDICAL CENTER PHARMACY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** INDIANA REGIONAL MEDICAL CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427220441
- **Authorized official:** MICHAEL F ICKOWSKI CPA, MBA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (724) 357-7008

## Contact information

- **Practice address:** 835 HOSPITAL RD, INDIANA, PA 15701-3629
- **Practice address phone:** (724) 357-7085
- **Mailing address:** PO BOX 788, INDIANA, PA 15701-0788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | HP418096L | PA | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 07/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3952048 | OTHER ID NUMBER | — |