# CROWNPOINT PHARMACY RX LLC

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

## Provider details

- **NPI number:** 1528804978
- **Authorized official:** HEMA PATEL (PHARMACY OWNER)
- **Authorized official phone:** (813) 304-2221

## Contact information

- **Practice address:** 9150 E 109TH AVE STE 1B, CROWN POINT, IN 46307-7686
- **Practice address phone:** (219) 488-1461
- **Practice address fax:** (219) 488-1462
- **Mailing address:** 9150 E 109TH AVE STE 1B, CROWN POINT, IN 46307-7686
- **Mailing address phone:** (219) 488-1461
- **Mailing address fax:** (219) 488-1462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/05/2024
- **Last updated:** 07/05/2024