Organization
PROSCRIPT LLC
Active
Other names
Proscript Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAD KHADER (OWNER)
(317) 658-0001
Entity
Organization
Contact information
Practice address
9292 N MERIDIAN ST STE 103, INDIANAPOLIS, IN 46260-1828
(855) 700-6001
(866) 700-6001
Mailing address
9292 N MERIDIAN ST, STE 103, INDIANAPOLIS, IN 46260-1857
(855) 700-6001
(866) 700-6001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006360A
IN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143338
PK
—
Enumeration date
11/22/2013
Last updated
03/12/2014
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