# STATE OF INDIANA AUDITOR OF STATE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EVANSVILLE STATE HOSPITAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598706459
- **Authorized official:** AMY ARY PHARMD (PHARMACY DIRECTOR)
- **Authorized official phone:** (812) 469-6800

## Contact information

- **Practice address:** 3400 LINCOLN AVE, EVANSVILLE, IN 47714-0147
- **Practice address phone:** (812) 469-6800
- **Practice address fax:** (812) 469-6825
- **Mailing address:** 3400 LINCOLN AVE, EVANSVILLE, IN 47714-0147
- **Mailing address phone:** (812) 469-6800
- **Mailing address fax:** (812) 469-6825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | 60000751A | IN | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 09/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2025178 | PK | — |