Organization
EXTENDED PHARMACY 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MCCOY PHARM. D. (OWNER)
(317) 343-2056
Entity
Organization
Contact information
Practice address
6030 W 62ND ST, INDIANAPOLIS, IN 46278-2909
(317) 343-2056
(877) 361-5651
Mailing address
6030 W 62ND ST, INDIANAPOLIS, IN 46278-2909
(317) 343-2056
(877) 361-5651
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
09/28/2023
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