# INDIANA PREMIER PHARMACY

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

## Provider details

- **NPI number:** 1518403443
- **Authorized official:** GHADA EL-BOLKINY (PHARMACY MANGER)
- **Authorized official phone:** (317) 828-1280

## Contact information

- **Practice address:** 8395 E 116TH ST, FISHERS, IN 46038-1520
- **Practice address phone:** (317) 288-0400
- **Practice address fax:** (317) 288-0677
- **Mailing address:** 8395 E 116TH ST, SUITE 121, FISHERS, IN 46038-1520
- **Mailing address phone:** (317) 288-0400
- **Mailing address fax:** (317) 288-0677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 60006418A | IN | Yes |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 01/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2166583 | PK | — |