Organization
ALIVIO PHARMACY, LLC
Active
Other names
Alivio Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA DURAN (PIC)
(317) 354-8160
Entity
Organization
Contact information
Practice address
2060 N SHADELAND AVE STE 101, INDIANAPOLIS, IN 46219-1764
(317) 354-8160
(317) 354-8162
Mailing address
2060 N SHADELAND AVE STE 101, INDIANAPOLIS, IN 46219-1764
(317) 354-8160
(317) 354-8162
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
054.019801
IL
3336C0003X
Community/Retail Pharmacy
Primary
PH30179
FL
3336C0004X
Compounding Pharmacy
60006279A
IN
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201193150A
—
IN
01
—
2133084
PK
—
05
—
30020380
—
IN
Enumeration date
12/21/2011
Last updated
08/31/2023
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