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NPI Code Detail

MEDICARE: SALLY HORVATH

MEDICARE:   SALLY  HORVATH
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
1183500000XPharmacist26027170AIN

General Provider Information

NPI Number : 1679129605
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY HORVATH
Provider Business Mailing Address
First Line : 5611 GEORGETOWN RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-1511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5611 GEORGETOWN RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-1511
Country : US
Telephone Number : 317-299-9596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2019
Last Update Date : 08/15/2019

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Directions to “ SALLY HORVATH ” Practice Location

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