# CONFIDENTIAL DRUG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Confidential Drug, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891222584
- **Authorized official:** LYMAN EATON RPH (PRESIDENT/CEO)
- **Authorized official phone:** (317) 989-7555

## Contact information

- **Practice address:** 8520 BASH ST STE D, INDIANAPOLIS, IN 46250
- **Practice address phone:** (888) 440-7117
- **Practice address fax:** (888) 296-7196
- **Mailing address:** 275 MEDICAL DR UNIT 1008, PO BOX 1008, CARMEL, IN 46082-0178
- **Mailing address phone:** (888) 440-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 60006610A | IN | Yes |

## Other

- **Enumeration date:** 05/12/2017
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2169849 | PK | — |