Healthcare Provider Details

I. General information

NPI: 1992638183
Provider Name (Legal Business Name): JULIE MCKINNEY B.S. PHARMACY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13144 GLENSIDE DR
FISHERS IN
46037-8864
US

IV. Provider business mailing address

13144 GLENSIDE DR
FISHERS IN
46037-8864
US

V. Phone/Fax

Practice location:
  • Phone: 317-313-9224
  • Fax:
Mailing address:
  • Phone: 317-313-9224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26019200A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: