Organization
INDIANA UNIVERSITY HEALTH, INC
Active
Other names
South Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KITCHELL (EVP & CFO)
(317) 962-2380
Entity
Organization
Contact information
Practice address
8820 S. MERIDIAN ST, SUITE 105, INDIANAPOLIS, IN 46217-6057
(317) 865-6833
(317) 865-6832
Mailing address
1776 N MERIDIAN ST STE 100A, RETAIL PHARMACY ADMIN, INDIANAPOLIS, IN 46202-1468
(317) 962-1522
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006255A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063700
—
IN
01
—
60006255A
STATE
IN
Enumeration date
09/25/2008
Last updated
03/07/2023
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