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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