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Organization
NRS PHARMACIES OF INDIANA LLC
Active
Organization
NRS PHARMACIES OF INDIANA LLC
Active
Other names
MediCenter Alternate Care Pharmcy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SOMMER (VP FINANCE AND ADMIN)
(314) 965-4700
Entity
Organization
Contact information
Practice address
100 W MAIN ST STE A, CAMBRIDGE CITY, IN 47327-1118
(765) 334-8331
(765) 334-8346
Mailing address
755 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8703
(314) 960-7300
(314) 965-4706
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20119450
—
IN
01
—
6006693A
STATE PHARMACY LICENSE NUMBER
IN
Enumeration date
02/24/2021
Last updated
01/08/2026
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