Organization
INFECTIOUS DISEASE SPECIALISTS, P.C.
Active
Organization
INFECTIOUS DISEASE SPECIALISTS, P.C.
Active
Other names
Infectious Disease Specialists, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PRESSNER (PHARMACY MANAGER)
(219) 972-1625
Entity
Organization
Contact information
Practice address
9143 INDIANAPOLIS BLVD STE 102, HIGHLAND, IN 46322-2577
(219) 972-1625
(219) 972-1651
Mailing address
9143 INDIANAPOLIS BLVD, STE. 102, HIGHLAND, IN 46322-2500
(219) 972-1625
(219) 972-1651
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
60005599A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133167
PK
—
Enumeration date
12/19/2013
Last updated
12/19/2013
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