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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