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Contact Information

ALIVIO PHARMACY, LLC
2060 N SHADELAND AVE STE 101
INDIANAPOLIS, IN46219-1764
 Phone: 317-354-8160
 Fax: 317-354-8162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ALIVIO PHARMACY, LLC

NPI Number 1356610299
LBN Legal business name ALIVIO PHARMACY, LLC
Authorized official ERIKA DURAN - (PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2011
Last updated 08/31/2023 - About 3 years ago
Identifiers
FL License # PH30179
IL License # 054.019801
IN License # 60006279A
IN Medicaid 201193150A
IN Medicaid 30020380
Other 2133084 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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