Provider Demographics
NPI:1063811339
Name:HEALTHSCRIPTS OF AMERICA-INDIANAPOLIS, LLC
Entity type:Organization
Organization Name:HEALTHSCRIPTS OF AMERICA-INDIANAPOLIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HENRIKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-770-8183
Mailing Address - Street 1:6565 WEST LOOP S STE 110
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3505
Mailing Address - Country:US
Mailing Address - Phone:832-770-8183
Mailing Address - Fax:832-770-8164
Practice Address - Street 1:8840 MICHIGAN RD STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1440
Practice Address - Country:US
Practice Address - Phone:317-522-5489
Practice Address - Fax:317-522-5489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60006394A3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy