Organization
INDIANA UNIVERSITY HEALTH, INC.
Active
Organization
INDIANA UNIVERSITY HEALTH, INC.
Active
Other names
East Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KITCHELL (EVP & CFO)
(317) 962-2380
Entity
Organization
Contact information
Practice address
9650 E WASHINGTON ST, INDIANAPOLIS, IN 46229-3032
(317) 890-5527
(317) 890-5675
Mailing address
1776 N MERIDIAN ST, STE 100A RETAIL PHARMACY ADMIN, INDIANAPOLIS, IN 46202-1468
(317) 963-9730
(317) 963-5003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006253A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200003770
—
IN
01
—
60006253A
STATE
IN
Enumeration date
09/25/2008
Last updated
03/07/2023
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