Organization
INDIANA UNIVERSITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C MITCHELL RPH (PHARMACY DIRECTOR)
(812) 855-3865
Entity
Organization
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-3865
(812) 856-7777
Mailing address
600 N EAGELSON AVE, BLOOMINGTON, IN 47405-3190
(812) 855-3865
(812) 856-7777
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60001312A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509667
NABP
—
01
—
60001312A
IN LICENSE
IN
Enumeration date
09/04/2006
Last updated
03/08/2022
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