Organization
WINONA BLDG. PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAM Q NGUYEN (PRESIDENT/OWNER)
(317) 924-5551
Entity
Organization
Contact information
Practice address
3266 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5839
(317) 924-5551
Mailing address
PO BOX 88247, 3266 N. MERIDIAN ST., STE #106, INDIANAPOLIS, IN 46208-0247
(317) 924-5551
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
60004479A
IN
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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