Organization
GEORGE'S FAMILY PHARMACY, INC.
Active
Parent organization
GEORGE'S PHARMACY EAST SIDE, LLC
Other names
George's Pharmacy East Side, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGE'S PHARMACY EAST SIDE, LLC
Authorized official
BLAKE CLY GILLMAN (OWNER/CEO)
(765) 265-4699
Entity
Organization
Contact information
Practice address
5543 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6448
(317) 359-8278
(317) 359-3400
Mailing address
5543 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6448
(317) 359-8278
(317) 359-3400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
60000438A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100291870A
—
IN
Enumeration date
05/03/2006
Last updated
03/01/2023
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