Iu Health Southway Pharmacy

LBN: Indiana University Health Ball Memorial Hospital Inc
Iu Health Southway Pharmacy is an health care organization with primary practice located at 3813 S Madison St , Muncie IN 47302-5758. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Indiana University Health Ball Memorial Hospital Inc can be contacted via phone (765) 751-2324, or through Luther, Lori via phone (765) 751-2795.

Contact Information

Primary practice address
3813 S Madison St Muncie IN 47302-5758
Phone: (765) 751-2324
Fax: (765) 751-2332
Website:
Map and Directions
Authorized official contact:
Name: Luther, Lori
Phone: (765) 751-2795

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60004877A Indiana

Profile Details

NPI number 1811091861
LBN Legal business name Indiana University Health Ball Memorial Hospital Inc
DBA Doing business as Iu Health Southway Pharmacy
Authorized official Luther, Lori
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 19th, 2016 - about 8 years ago

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 1811091861 NPPES
Other 2122539 PK
MEDICAID 200079290 PK

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