Organization
GREATER LAFAYETTE HEALTH SERVICES
Active
Other names
St. Elizabeth East Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MILLER (PHARMACY DIRECTOR)
(765) 502-4500
Entity
Organization
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4500
(765) 502-4501
Mailing address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4500
(765) 502-4501
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60006211A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562847
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/22/2010
Last updated
01/22/2010
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