Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC
Active
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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