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Organization
FLYWHEEL HEALTHCARE LLC
Active
Organization
FLYWHEEL HEALTHCARE LLC
Active
Other names
Young at Heart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY HART PHARMACIST (MANAGING PARTNER)
(317) 213-5117
Entity
Organization
Contact information
Practice address
10330 N MERIDIAN ST STE 110, CARMEL, IN 46290-1024
(866) 308-4990
(877) 513-6937
Mailing address
PO BOX 3504, CARMEL, IN 46082-3504
(866) 308-4990
(877) 513-6937
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHNR.FO.60319761
WA
3336C0004X
Compounding Pharmacy
265197
MN
3336L0003X
Long Term Care Pharmacy
Primary
60006208A
IN
3336S0011X
Specialty Pharmacy
NRP.022459650-12
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200962160A
—
IN
01
—
2122500
PK
—
Enumeration date
10/23/2009
Last updated
01/20/2022
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