Organization
IOM HEALTH SYSTEMS, LP
Active
Organization
IOM HEALTH SYSTEMS, LP
Active
Other names
Lutheran Hospital of Indiana OP Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SIEVERS RPH (NETWORK DIRECTOR, PHARMACY SERVICES)
(260) 435-7442
Entity
Organization
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7390
Mailing address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60004852A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1516713
NABP
—
Enumeration date
01/18/2007
Last updated
08/22/2020
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