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NPI Code Detail

MEDICARE: DR. EMILY HENRICHS PHARMD

MEDICARE: DR. EMILY HENRICHS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist26026019AIN
2183500000XPharmacist26026019AIN

General Provider Information

NPI Number : 1295389419
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY HENRICHS PHARMD
Provider Business Mailing Address
First Line : 7101 E 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4905
Country : US
Telephone Number : 317-351-3216
Fax Number :
Provider Business Practice Location Address
First Line : 7101 E 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4905
Country : US
Telephone Number : 317-351-3216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2019
Last Update Date : 01/26/2020

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