Healthcare Provider Details

I. General information

NPI: 1467467373
Provider Name (Legal Business Name): MARSH DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 01/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 W US HIGHWAY 36
PENDLETON IN
46064-9280
US

IV. Provider business mailing address

9800 CROSSPOINT BLVD
INDIANAPOLIS IN
46256-3300
US

V. Phone/Fax

Practice location:
  • Phone: 765-221-7110
  • Fax: 765-221-7113
Mailing address:
  • Phone: 317-594-2100
  • Fax: 317-598-3961

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 Number60005856A
License Number StateIN

VIII. Authorized Official

Name: DENISE GARNER
Title or Position: DIRECTOR OF PHARMACY SERVICES
Credential:
Phone: 317-594-2404