National Provider Identifier Database

EXTENDED PHARMACY 2 LLC
Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.


Contact Information

EXTENDED PHARMACY 2 LLC
6030 W 62ND ST
INDIANAPOLIS, IN46278-2909
Phone: 317-343-2056
Fax: 877-361-5651
Website:
Specialty Taxonomy Code
* Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for EXTENDED PHARMACY 2 LLC

NPI Number 1780151191
Legal business name
LBN
EXTENDED PHARMACY 2 LLC
Authorized official ADAM MCCOY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/24/2018
Last updated 09/28/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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