Organization
WINONA BLDG. PHARMACY, INC.
Active
Other names
Winona Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAM Q NGUYEN (OWNER)
(317) 590-0829
Entity
Organization
Contact information
Practice address
3266 N MERIDIAN ST STE 106, INDIANAPOLIS, IN 46208-5839
(317) 924-5551
(317) 924-5573
Mailing address
PO BOX 88247, 3266 N. MERIDIAN ST., #106, INDIANAPOLIS, IN 46208-0247
(317) 924-5551
(317) 924-5573
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
60007748
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1531816
NAPB #
IN
Enumeration date
02/27/2007
Last updated
08/22/2020
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