Organization
COMMUNITY HEALTH NETWORK, INC
Active
Other names
Community Hospital North Specialty Pharmacy, Community Health Network Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY C SPROUSE (DIRECTOR OF REIMBURSMENT)
(317) 355-4992
Entity
Organization
Contact information
Practice address
7250 CLEARVISTA DR STE 140, INDIANAPOLIS, IN 46256-4640
(317) 621-3100
(317) 621-4298
Mailing address
6233 RELIABLE PARKWAY, CHICAGO, IL 60682-0062
(317) 355-4992
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000022457
—
IN
Enumeration date
08/13/2018
Last updated
04/27/2023
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