Provider Demographics
NPI:1598215626
Name:PHARMASAVE RX
Entity Type:Organization
Organization Name:PHARMASAVE RX
Other - Org Name:PHARMASAVE RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:GAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:OKAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-698-3934
Mailing Address - Street 1:4638 S SCATTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013-2900
Mailing Address - Country:US
Mailing Address - Phone:765-374-3444
Mailing Address - Fax:
Practice Address - Street 1:4638 S SCATTERFIELD RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-2900
Practice Address - Country:US
Practice Address - Phone:765-374-3444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60006581A333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2164580OtherPK