# STATE OF INDIANA AUDITOR OF STATE

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

## Provider details

- **NPI number:** 1750323531
- **Authorized official:** JUDITH FERRY RPH (ASST DEPUTY DIR DIV MNTAL HLTH)
- **Authorized official phone:** (317) 232-7843

## Contact information

- **Practice address:** 498 NW 18TH ST, RICHMOND, IN 47374-2851
- **Practice address phone:** (765) 966-0511
- **Practice address fax:** (765) 935-9513
- **Mailing address:** 498 NW 18TH ST, RICHMOND, IN 47374-2851
- **Mailing address phone:** (765) 966-0511
- **Mailing address fax:** (765) 935-9513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | 60000031A | IN | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 01/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1513868 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |