Organization
INDIANA UNIVERSITY HEALTH INC
Active
Other names
IU Health Advanced Therapies Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SORGEN (DIRECTOR OF PHARMACY)
(317) 948-1598
Entity
Organization
Contact information
Practice address
390 AIRTECH PKWY STE 106A, PLAINFIELD, IN 46168-7456
(317) 963-7100
(317) 963-7110
Mailing address
3988 SOLUTIONS CTR, CHICAGO, IL 60677-3009
(317) 963-9730
(317) 963-5003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
60006420A
IN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201272230A
—
IN
01
—
2149229
PK
—
Enumeration date
11/26/2014
Last updated
06/01/2023
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