Organization
INDIANA HEMOPHILIA & THROMBOSIS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY HOARD (EXECUTIVE DIRECTOR)
(317) 871-0000
Entity
Organization
Contact information
Practice address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
Mailing address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
60005678A
IN
3336S0011X
Specialty Pharmacy
Primary
60005678A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200375510B
—
IN
Enumeration date
03/27/2015
Last updated
07/18/2015
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