Organization
HORIZON BIOADVANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HAMM (PRACTICE MANAGER)
(765) 446-5111
Entity
Organization
Contact information
Practice address
1345 UNITY PL, SUITE 345, LAFAYETTE, IN 47905-5760
(765) 446-5111
(765) 838-0972
Mailing address
1345 UNITY PL, SUITE 345, LAFAYETTE, IN 47905-5760
(765) 446-5111
(765) 838-0972
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
01044990A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200173610
—
IN
Enumeration date
02/17/2016
Last updated
02/17/2016
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