Organization
INDIANA PREMIER PHARMACY
Active
Other names
Indiana Premier Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GHADA EL-BOLKINY (PHARMACY MANGER)
(317) 828-1280
Entity
Organization
Contact information
Practice address
8395 E 116TH ST, FISHERS, IN 46038-1520
(317) 288-0400
(317) 288-0677
Mailing address
8395 E 116TH ST, SUITE 121, FISHERS, IN 46038-1520
(317) 288-0400
(317) 288-0677
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
60006418A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166583
PK
—
Enumeration date
01/17/2017
Last updated
01/17/2017
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