George'S Pharmacy East Side, Llc

LBN: George'S Family Pharmacy, Inc.
George'S Pharmacy East Side, Llc is an health care organization with primary practice located at 5543 E Washington St , Indianapolis IN 46219-6448. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. George'S Family Pharmacy, Inc. can be contacted via phone (317) 359-8278, or through Gillman, Blake Cly via phone (765) 265-4699.

Contact Information

Primary practice address
5543 E Washington St Indianapolis IN 46219-6448
Fax: (317) 359-3400
Website:
Authorized official contact:
Name: Gillman, Blake Cly

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60000438A Indiana

Profile Details

NPI number 1801854047
LBN Legal business name George'S Family Pharmacy, Inc.
DBA Doing business as George'S Pharmacy East Side, Llc
Authorized official Gillman, Blake Cly
Entity Organization
Organization subpart 1 Yes
Enumeration date May 3rd, 2006
Last updated Mar 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801854047 NPPES
Indiana MEDICAID 100291870A

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