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Organization
STATE OF INDIANA AUDITOR OF STATE
Active
Organization
STATE OF INDIANA AUDITOR OF STATE
Active
Other names
RICHMOND STATE HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH FERRY RPH (ASST DEPUTY DIR DIV MNTAL HLTH)
(317) 232-7843
Entity
Organization
Contact information
Practice address
498 NW 18TH ST, RICHMOND, IN 47374-2851
(765) 966-0511
(765) 935-9513
Mailing address
498 NW 18TH ST, RICHMOND, IN 47374-2851
(765) 966-0511
(765) 935-9513
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
60000031A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1513868
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/13/2006
Last updated
01/24/2012
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