Organization
BLOOM RX PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA NAIEM AHMED RPH (AUTHORIZED OFFICIAL)
(317) 345-4147
Entity
Organization
Contact information
Practice address
465 N TOWN CENTER RD, MOORESVILLE, IN 46158-2316
(317) 289-0326
Mailing address
465 N TOWN CENTER RD, MOORESVILLE, IN 46158-2316
(317) 345-4147
(317) 584-3014
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
04/20/2026
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