# VIRAG

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

## Provider details

- **NPI number:** 1811575822
- **Authorized official:** DR. SAUMIIN CALCUTTAWALA PHARMD, MS (PHARMACIST IN CHARGE)
- **Authorized official phone:** (317) 688-7050

## Contact information

- **Practice address:** 151 E BOW STREET, INSIDE WITHAM CLINIC, THORNTOWN, IN 46071
- **Practice address phone:** (765) 889-4735
- **Practice address fax:** (765) 548-5736
- **Mailing address:** 1001 W MAIN ST, CARMEL, IN 46032-1433
- **Mailing address phone:** (317) 688-7050
- **Mailing address fax:** (317) 575-1094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2021
- **Last updated:** 04/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300040693 | — | IN |