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Organization

ILLUMINATE HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANIE MAE GAHIMER HYSLOP PHARMD (PHARMACIST)
(317) 512-5459
Entity
Organization

Contact information

Practice address
12400 N MERIDIAN ST STE 150, CARMEL, IN 46032-6990
(312) 605-2390
Mailing address
12400 N MERIDIAN ST STE 150, CARMEL, IN 46032-6990
(312) 605-2390

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
06/06/2022
Last updated
06/06/2022
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