MEDICARE: ASM PHARMACY, LLC

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
1	3336M0002X	Mail Order Pharmacy

General Provider Information

NPI Number	:	1578307534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASM PHARMACY, LLC

Provider Business Mailing Address
First Line	:	224 N PARK AVE
Second Line	:
City	:	FREMONT
State	:	NE
Zip	:	68025-4964
Country	:	US
Telephone Number	:	317-202-1298
Fax Number	:

Provider Business Practice Location Address
First Line	:	7041 GIRLS SCHOOL AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46241-2821
Country	:	US
Telephone Number	:	317-202-1298
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MATT HOFF
Credential	:
Telephone Number	:	317-202-1298

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	02/19/2026

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Directions to “ASM PHARMACY, LLC ” Practice Location

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