Organization
NOBLESVILLE LOW COST PHARMACY
Active
Other names
Noblesville Low Cost Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AKRAM ABUMAHFOUZ (PHARMACY OWNER)
(317) 231-5252
Entity
Organization
Contact information
Practice address
758 WESTFIELD RD, NOBLESVILLE, IN 46062-6902
(317) 231-5252
(317) 900-7458
Mailing address
758 WESTFIELD RD, NOBLESVILLE, IN 46062-6902
(317) 231-5252
(317) 900-7458
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006483A/B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20134960A
—
IN
01
—
2152996
PK
—
Enumeration date
07/07/2015
Last updated
10/04/2016
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