Organization
NOBLESVILLE LOW COST PHARMACY
Active
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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