Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC
Active
Other names
IU Health Yorktown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LUTHER (CFO)
(765) 751-2795
Entity
Organization
Contact information
Practice address
1420 S PILGRIM BLVD, YORKTOWN, IN 47396-9250
(765) 759-4064
(765) 759-4073
Mailing address
1633 N CAPITOL AVE, SUITE 438, INDIANAPOLIS, IN 46202-1261
(317) 963-9730
(317) 963-5003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60004901A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1532717
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
200098740
—
IN
Enumeration date
09/12/2006
Last updated
08/19/2016
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