Healthcare Provider Details

I. General information

NPI: 1801972260
Provider Name (Legal Business Name): CARDINAL COMPOUNDING PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 BROAD ST
NEW CASTLE IN
47362-4849
US

IV. Provider business mailing address

499 BROAD ST
NEW CASTLE IN
47362-4849
US

V. Phone/Fax

Practice location:
  • Phone: 765-529-5808
  • Fax: 765-521-4962
Mailing address:
  • Phone: 765-529-5808
  • Fax: 765-521-4962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number60005873A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number60005873A
License Number StateIN

VIII. Authorized Official

Name: MR. BRUCE A HINSHAW
Title or Position: PRESIDENT
Credential: RPH
Phone: 765-529-5808