Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC
Active
Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC
Active
Other names
IU Health Southway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LUTHER (CFO)
(765) 751-2795
Entity
Organization
Contact information
Practice address
3813 S MADISON ST, MUNCIE, IN 47302-5758
(765) 751-2324
(765) 751-2332
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
60004877A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200079290
—
IN
01
—
2122539
PK
—
Enumeration date
09/12/2006
Last updated
08/19/2016
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