Provider Demographics
NPI:1134645146
Name:ELLA COMMUNITY PHARMACY 2, LLC
Entity Type:Organization
Organization Name:ELLA COMMUNITY PHARMACY 2, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:317-758-4171
Mailing Address - Street 1:508 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:IN
Mailing Address - Zip Code:46069-9188
Mailing Address - Country:US
Mailing Address - Phone:317-758-4171
Mailing Address - Fax:
Practice Address - Street 1:508 E 10TH ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:IN
Practice Address - Zip Code:46069
Practice Address - Country:US
Practice Address - Phone:317-758-4171
Practice Address - Fax:317-758-4171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-21
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy