Organization
REHABILITATION HOSPITAL OF INDIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ESCALANTE (DIRECTOR OF PHARMACY AND ANCILLARY)
(317) 329-2236
Entity
Organization
Contact information
Practice address
4141 SHORE DR, INDIANAPOLIS, IN 46254-2607
(317) 329-2236
Mailing address
4141 SHORE DR, INDIANAPOLIS, IN 46254-2607
(317) 329-2236
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60006675A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100454490A
—
IN
Enumeration date
07/02/2018
Last updated
07/02/2018
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