Organization
GUARDIAN PHARMACY OF INDIANAPOLIS LTC, LLC
Active
Other names
Guardian Pharmacy of Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE PIEPENBRINK (PRESIDENT)
(866) 320-4669
Entity
Organization
Contact information
Practice address
6530 CORPORATE DR, INDIANAPOLIS, IN 46278-2915
(317) 452-4669
(866) 320-4744
Mailing address
PO BOX 11407, DEPT # 2421, BIRMINGHAM, AL 35246-2421
(404) 810-0089
(404) 810-0094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
60006311A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201081960A
—
IN
01
—
2136626
PK
—
Enumeration date
07/24/2012
Last updated
02/15/2017
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