MEDICARE: MEDWORKS, INC

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
1	333600000X	Pharmacy	60005416A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1519391	OTHER	IN	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356330690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDWORKS, INC

Provider Business Mailing Address
First Line	:	30 W RAMPART ST
Second Line	:	SUITE 140
City	:	SHELBYVILLE
State	:	IN
Zip	:	46176-8846
Country	:	US
Telephone Number	:	317-392-3737
Fax Number	:	317-392-9266

Provider Business Practice Location Address
First Line	:	30 W RAMPART ST
Second Line	:	SUITE 140
City	:	SHELBYVILLE
State	:	IN
Zip	:	46176-8846
Country	:	US
Telephone Number	:	317-392-3737
Fax Number	:	317-392-9266

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	MR. MICHAEL WHITFIELD
Credential	:
Telephone Number	:	317-392-3737

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	08/22/2020

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Directions to “MEDWORKS, INC ” Practice Location

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