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General NPI Number Information
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NPI Number | 1548151400
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Entity Type | Organization
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Legal Business Name | INDIANA HEALTH CENTERS, INC. PHARMACY LLC
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 3710 S WESTERN AVE
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City | MARION
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State | IN
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Zip | 46953-4827
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Country | US
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Telephone | 765-263-8577
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Fax |
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Provider Business Mailing Address
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Address Line | 8003 CASTLEWAY DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-1946
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Country | US
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Telephone | 317-576-1335
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANN LUNDY
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Credential | MBA
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Telephone | 317-576-1335
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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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