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NPI Code Detail

MEDICARE: AISLINN PRUSS

MEDICARE:   AISLINN  PRUSS
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
1333600000XPharmacy26029975AIN

General Provider Information

NPI Number : 1568392330
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISLINN PRUSS
Provider Business Mailing Address
First Line : 339 CENTRAL STATE BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-0105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 UNIVERSITY BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5149
Country : US
Telephone Number : 720-595-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ AISLINN PRUSS ” Practice Location

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