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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