Healthcare Provider Details

I. General information

NPI: 1043131923
Provider Name (Legal Business Name): ALLISON MACK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W 86TH ST
INDIANAPOLIS IN
46260-1902
US

IV. Provider business mailing address

14446 SIMPLICITY PKWY APT 2A
CARMEL IN
46033-8476
US

V. Phone/Fax

Practice location:
  • Phone: 317-338-3950
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26032121A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: