Organization
ELLA COMMUNITY PHARMACY 1, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK ANGELOTTI PHARMD, RPH (OWNER)
(317) 896-9378
Entity
Organization
Contact information
Practice address
211 JERSEY ST, WESTFIELD, IN 46074-9187
(317) 896-9378
(317) 896-2731
Mailing address
20505 FREEMONT MOORE RD, SHERIDAN, IN 46069-9155
(317) 896-9378
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007606
—
IN
Enumeration date
08/05/2022
Last updated
12/14/2023
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