Organization
GG II INDIANA, LLC
Active
Other names
Needler's Fresh Market Pharmacy #929
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA BERGUM (DIRECTOR OF PHARMACY OPERATIONS)
(317) 450-5335
Entity
Organization
Contact information
Practice address
320 N NEW JERSEY ST, INDIANAPOLIS, IN 46204-2113
(463) 203-5178
(317) 423-2305
Mailing address
320 N NEW JERSEY ST, INDIANAPOLIS, IN 46204-2113
(463) 203-5178
(317) 423-2305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
08/16/2019
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