Provider First Line Business Practice Location Address:
1002 W 10TH ST
Provider Second Line Business Practice Location Address:
INPATIENT PHARMACY
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46202-2879
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-630-6708
Provider Business Practice Location Address Fax Number:
317-630-8617
Provider Enumeration Date:
08/09/2006