NPI 1255364758

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Organisation Non-Pharmacy Dispensing Site Indianapolis, IN

Practice location

Address: 5980 W 71st St STE 201 a, Indianapolis, IN 46278-1785
Phone: (317) 388-0800
Fax: (317) 388-0805

Authorised official

Name: Marie Eugene Garcia
Title: Physical Therapist
Phone: (317) 388-0800

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

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Registry record

NPI: 1255364758
Entity type: Organization
NPI issued: 8 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.