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General NPI Number Information
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NPI Number | 1164390274
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Entity Type | Organization
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Legal Business Name | HEALTHNET PHARMACY LLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 2340 E 10TH ST STE B
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City | INDIANAPOLIS
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State | IN
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Zip | 46201-2008
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Country | US
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Telephone | 317-643-9424
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Fax | 317-449-5879
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Provider Business Mailing Address
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Address Line | 2340 E 10TH ST STE B
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City | INDIANAPOLIS
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State | IN
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Zip | 46201-2008
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Country | US
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Telephone | 317-643-9424
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Fax | 317-449-5879
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Authorized Official
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Title or Position | PRESIDENT
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Name | VARON E CANTRELL
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Credential |
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Telephone | 317-957-2015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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