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Organization
PHARMAKON COMPOUNDING PHARMACY INC
Active
Organization
PHARMAKON COMPOUNDING PHARMACY INC
Active
Other names
Pharmakon Compounding Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ELMER (CEO)
(317) 818-1059
Entity
Organization
Contact information
Practice address
14460 GETZ RD STE 300, NOBLESVILLE, IN 46060-3303
(800) 947-2711
(800) 880-0052
Mailing address
14460 GETZ RD, NOBLESVILLE, IN 46060-3303
(800) 947-2711
(800) 880-0052
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
60006167A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117705
PK
—
Enumeration date
11/07/2008
Last updated
01/29/2016
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