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NPI Code Detail

MEDICARE: ALEXIS SHEA HEIN

MEDICARE:   ALEXIS SHEA HEIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26030351AIN

General Provider Information

NPI Number : 1437839776
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS SHEA HEIN
Provider Business Mailing Address
First Line : 6939 W BROADWAY
Second Line :
City : MCCORDSVILLE
State : IN
Zip : 46055-9008
Country : US
Telephone Number : 317-510-0310
Fax Number :
Provider Business Practice Location Address
First Line : 6939 W BROADWAY
Second Line :
City : MCCORDSVILLE
State : IN
Zip : 46055-9008
Country : US
Telephone Number : 317-510-0310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2023
Last Update Date : 07/21/2023

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Directions to “ ALEXIS SHEA HEIN ” Practice Location

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