Organization
INDIANA BLOODWORX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GRAY (TREASURER/CFO)
(317) 871-0000
Entity
Organization
Contact information
Practice address
8326 NAAB RD STE 201, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
(317) 870-4530
Mailing address
8326 NAAB RD STE 201, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
(317) 870-4530
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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