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NPI Code Detail

MEDICARE: ANDREW HUERTA

MEDICARE: ANDREW HUERTA
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
1183500000XPharmacist26030465AIN

General Provider Information

NPI Number : 1295418580
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW HUERTA
Provider Business Mailing Address
First Line : 6275 KELSEY DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-5045
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3003 KESSLER BLVD NORTH DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-1990
Country : US
Telephone Number : 317-925-3788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2023
Last Update Date : 08/11/2023

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Directions to “ ANDREW HUERTA ” Practice Location

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