Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC
Active
Other names
IU Health Blackford Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LUTHER (CFO)
(765) 751-2795
Entity
Organization
Contact information
Practice address
400 PILGRIM BLVD, HARTFORD CITY, IN 47348-1382
(765) 348-4989
(765) 348-8349
Mailing address
7001 SOLUTIONS CTR, CHICAGO, IL 60677-3009
(317) 962-1522
(317) 963-5003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60005866A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122553
PK
—
Enumeration date
09/12/2006
Last updated
08/18/2016
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