Organization
CAMBY LOW COST PHARMACY
Active
Other names
Camby Low Cost Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AKRAM ABUMAHFOUZ (OWNER/PHARMACIST IN CHARGE)
(317) 548-8015
Entity
Organization
Contact information
Practice address
8411 WINDFALL LN STE 90, CAMBY, IN 46113-8027
(317) 548-8015
(317) 830-8365
Mailing address
8411 WINDFALL LN STE 90, CAMBY, IN 46113-8027
(317) 548-8015
(317) 830-8365
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60006559A
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201343280A
—
IN
01
—
2157673
PK
—
Enumeration date
01/28/2016
Last updated
10/04/2016
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