Organization · NPI-2

Greenleaf Apothecary, LLC

Pharmacy, Compounding Pharmacy · Fishers, IN

NPI number1659706745
StatusActive
Last updated in NPPESOct 28, 2013

Details

NPI
1659706745
Entity type
Organization (NPI-2)
Legal business name
Greenleaf Apothecary, LLC
Organization subpart
No
Enumeration date
Sep 7, 2013
Last updated
Oct 28, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0004X Pharmacy, Compounding Pharmacy60006356AINYes
3336C0003X Pharmacy, Community/Retail Pharmacy60006356AIN

Practice location

10154 Brooks School Rd
Fishers, IN 46037-3842

Phone 317-850-8583

Mailing address

10154 Brooks School Rd
Fishers, IN 46037-3842

Phone 317-850-8583

Authorized official

Sina Semsarzadeh
Pharmacist And Owner
3178508583

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