Prairestone Pharmacy Llc
Community/Retail Pharmacy
9320 Priority Way West Dr, Indianapolis
Indiana, 46240-1468
317-573-0045 317-573-0206
Prairestone Pharmacy Llc is a Community/Retail Pharmacy in Indianapolis, Indiana. It is located at 9320 Priority Way West Dr, Indianapolis and it's customer support contact number is 317-573-0045. The authorized person of Prairestone Pharmacy Llc is Matt Middendorf who is Chief Financial Office of the pharmacy and his contact number is 317-569-8234. Active license number of Prairestone Pharmacy Llc is 60006165A for Community/Retail Pharmacy in Indiana.
Prairestone Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Prairestone Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Prairestone Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 9320 Priority Way West Dr, Indianapolis,
Indiana, 46240-1468 |
| Phone: | 317-573-0045 |
| Fax: | 317-573-0206 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Matt Middendorf |
| Position: | Chief Financial Office |
| Contact Number: | 317-569-8234 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1235388356 |
| NPI Enumeration Date: | 12 Sep, 2008 |
| NPI Last Update On: | 15 Mar, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prairestone Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 60006165A | Indiana | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2878186 | Medicaid | Ohio | |
| 1562378 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 9830,
Salt Lake City, Utah |
| Zip: | 84109-9830 |
| Phone Number: | 877-540-4748 |
| Fax Number: | 801-716-4872 |
Patients can reach Prairestone Pharmacy Llc at
9320 Priority Way West Dr, Indianapolis, Indiana or can
call on customer care at 317-573-0045.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.