Organization
FLYWHEEL HEALTHCARE LLC
Active
Other names
Young at Heart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY HART PHARMACIST (MANAGING PARTNER)
(317) 213-5117
Entity
Organization
Contact information
Practice address
10330 N MERIDIAN ST STE 110, CARMEL, IN 46290-1024
(866) 308-4990
(877) 513-6937
Mailing address
PO BOX 3504, CARMEL, IN 46082-3504
(866) 308-4990
(877) 513-6937
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHNR.FO.60319761
WA
3336C0004X
Compounding Pharmacy
265197
MN
3336L0003X
Long Term Care Pharmacy
Primary
60006208A
IN
3336S0011X
Specialty Pharmacy
NRP.022459650-12
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200962160A
—
IN
01
—
2122500
PK
—
Enumeration date
10/23/2009
Last updated
01/20/2022
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