Provider Demographics
NPI:1568099703
Name:IN TOUCH OF INDY, LLC
Entity Type:Organization
Organization Name:IN TOUCH OF INDY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY OF CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RONDINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-464-7055
Mailing Address - Street 1:1150 EASTPORT CENTRE DR STE A
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-8430
Mailing Address - Country:US
Mailing Address - Phone:877-464-7055
Mailing Address - Fax:219-241-6113
Practice Address - Street 1:851 COLUMBIA RD STE 190
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-7587
Practice Address - Country:US
Practice Address - Phone:877-464-7055
Practice Address - Fax:219-241-6113
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IN TOUCH PHARMACEUTICALS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy