Organization
APOTHECARY SERVICES INC
Active
Organization
APOTHECARY SERVICES INC
Active
Other names
Low Cost Mobility Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY LIVESAY (OWNER)
(765) 608-6143
Entity
Organization
Contact information
Practice address
19 E AMES ST, ANDERSON, IN 46012-1705
(765) 649-1255
(765) 649-6144
Mailing address
19 E AMES ST, ANDERSON, IN 46012-1705
(765) 608-6143
(765) 608-6144
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097359
ANTHEM
IN
05
—
100172370A
—
IN
Enumeration date
12/16/2005
Last updated
05/15/2008
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