Organization
INDIANA UNIVERSITY HEALTH, INC
Active
Other names
Methodist Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ALVEY (SVP AND CFO)
(317) 963-0213
Entity
Organization
Contact information
Practice address
1801 NORTH SENATE BLVD, SUITE 105, INDIANAPOLIS, IN 46202
(317) 962-5606
(317) 962-2353
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
60005577A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1535383
NCPDP
IN
05
—
200319470
—
IN
Enumeration date
03/14/2006
Last updated
03/07/2023
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