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NPI Code Detail

MEDICARE: ELLYN LOHR PHARMD

MEDICARE: ELLYN LOHR 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
1183500000XPharmacist26023666AIN

General Provider Information

NPI Number : 1881049724
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLYN LOHR PHARMD
Provider Business Mailing Address
First Line : 225 E NORTH ST APT 1204
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-1347
Country : US
Telephone Number : 317-750-8856
Fax Number :
Provider Business Practice Location Address
First Line : 5349 W PIKE PLAZA RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-3011
Country : US
Telephone Number : 317-387-2410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2016
Last Update Date : 04/28/2016

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