Healthcare Provider Details

I. General information

NPI: 1548151400
Provider Name (Legal Business Name): INDIANA HEALTH CENTERS, INC. PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 S WESTERN AVE
MARION IN
46953-4827
US

IV. Provider business mailing address

8003 CASTLEWAY DR
INDIANAPOLIS IN
46250-1946
US

V. Phone/Fax

Practice location:
  • Phone: 765-263-8577
  • Fax:
Mailing address:
  • Phone: 317-576-1335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANN LUNDY
Title or Position: CEO
Credential: MBA
Phone: 317-576-1335