Healthcare Provider Details

I. General information

NPI: 1982315388
Provider Name (Legal Business Name): PRICELESS RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10446 OLIO RD
FISHERS IN
46040-7500
US

IV. Provider business mailing address

10446 OLIO RD
FISHERS IN
46040-7500
US

V. Phone/Fax

Practice location:
  • Phone: 317-762-3333
  • Fax: 317-762-9999
Mailing address:
  • Phone: 317-762-3333
  • Fax: 317-762-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MAHMOUD KHATTAB
Title or Position: PIC
Credential:
Phone: 708-979-4770