Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC
Active
Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC
Active
Other names
Ball State Healthcenter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BIRD (CMO/COO)
(765) 751-6325
Entity
Organization
Contact information
Practice address
1500 NEELY AVE, MUNCIE, IN 47306-0001
(765) 285-1079
(765) 285-1138
Mailing address
1633 N CAPITOL AVE, SUITE 438, INDIANAPOLIS, IN 46202-1261
(317) 963-9730
(317) 963-5003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60002008A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1513325
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2006
Last updated
07/28/2016
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