Provider Demographics
NPI:1558355537
Name:MHP PHARMACY LLC
Entity Type:Organization
Organization Name:MHP PHARMACY LLC
Other - Org Name:FREEDOM PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:317-213-5117
Mailing Address - Street 1:101 W 103RD ST
Mailing Address - Street 2:INH 515
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1102
Mailing Address - Country:US
Mailing Address - Phone:888-852-1553
Mailing Address - Fax:888-852-1759
Practice Address - Street 1:101 W 103RD ST
Practice Address - Street 2:INH 515
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46290-1102
Practice Address - Country:US
Practice Address - Phone:888-852-1553
Practice Address - Fax:888-852-1759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60005853333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy