Organization
ST. FRANCIS HOSPITAL AND HEALTH
Active
Other names
St. Francis Mail Order Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN KISCH (PHARMACIST IN CHARGE)
(317) 834-4420
Entity
Organization
Contact information
Practice address
1201 HADLEY RD, MOORESVILLE, IN 46158-1737
(317) 834-4420
Mailing address
1201 HADLEY RD, MOORESVILLE, IN 46158-1737
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562607
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/23/2009
Last updated
03/23/2009
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