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Organization

CONFIDENTIAL DRUG LLC

Active
Other names
Confidential Drug, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
LYMAN EATON RPH (PRESIDENT/CEO)
(317) 989-7555
Entity
Organization

Contact information

Practice address
8520 BASH ST STE D, INDIANAPOLIS, IN 46250
(888) 440-7117
(888) 296-7196
Mailing address
275 MEDICAL DR UNIT 1008, PO BOX 1008, CARMEL, IN 46082-0178
(888) 440-7117

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
60006610A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2169849
PK
Enumeration date
05/12/2017
Last updated
07/19/2018
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