Organization
GREENLEAF APOTHECARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SINA SEMSARZADEH PHARM.D. (PHARMACIST AND OWNER)
(317) 850-8583
Entity
Organization
Contact information
Practice address
10154 BROOKS SCHOOL RD, FISHERS, IN 46037-3842
(317) 850-8583
Mailing address
10154 BROOKS SCHOOL RD, FISHERS, IN 46037-3842
(317) 850-8583
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
60006356A
IN
3336C0004X
Compounding Pharmacy
Primary
60006356A
IN
Other
Enumeration date
09/07/2013
Last updated
10/28/2013
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