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Organization

STATE OF INDIANA, AUDITOR OF STATE

Active
Parent organization
STATE OF INDIANA, AUDITOR OF STATE
Other names
Indiana Veterans' Home Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF INDIANA, AUDITOR OF STATE
Authorized official
DANIELLE CHRYSLER (DCOS LEGISLATIVE DIRECTOR)
(317) 232-7566
Entity
Organization

Contact information

Practice address
3851 N RIVER RD, PHARMACY DEPARTMENT, WEST LAFAYETTE, IN 47906-3762
(765) 497-8642
(765) 497-8593
Mailing address
3851 N RIVER RD, PHARMACY DEPARTMENT, WEST LAFAYETTE, IN 47906-3762
(765) 497-8642
(765) 497-8593

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60000339A
IN

Other

Enumeration date
04/19/2010
Last updated
04/19/2010
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