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General NPI Number Information
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NPI Number | 1699912444
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Entity Type | Organization
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Legal Business Name | ST VINCENT HOSPITAL & HEALTH CARE CENTER INC
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 8450 N PAYNE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-6620
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Country | US
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Telephone | 317-338-4488
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Fax | 317-338-4479
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Provider Business Mailing Address
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Address Line | 8450 N PAYNE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-6620
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Country | US
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Telephone | 317-338-4488
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Fax | 317-338-4479
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Authorized Official
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Title or Position | MANAGER AMBULATORY PHARMACY
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Name | WENDY LEMASTERS
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Credential |
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Telephone | 317-338-2097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 60005525A
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License Number State | IN
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