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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Non-Pharmacy Dispensing Site · INDIANAPOLIS, IN

Registration Details

NPI Number
1255364758
Provider Type
Organization
NPI Issued
Jul 8, 2006 (19.789111835082 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
5980 W 71ST ST STE 201 A
INDIANAPOLIS, IN, 462781785
Browse IN providers · Browse ZIP 46278
Phone
3173880800
Fax
3173880805
Primary Specialty
Non-Pharmacy Dispensing Site
332900000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.