Healthcare Provider Details

I. General information

NPI: 1700321312
Provider Name (Legal Business Name): CROSSWIND PHARMACEUTICALS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 01/28/2020
Certification Date: 01/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4838 FLETCHER AVE STE 2000
INDIANAPOLIS IN
46203-1642
US

IV. Provider business mailing address

4838 FLETCHER AVE STE 2000
INDIANAPOLIS IN
46203-1642
US

V. Phone/Fax

Practice location:
  • Phone: 317-288-9762
  • Fax: 317-653-1113
Mailing address:
  • Phone: 317-288-9762
  • Fax: 317-653-1113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number60006592A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH BIGLER
Title or Position: COO
Credential: RN
Phone: 317-361-9488