Organization · Type 2 NPI

Northshore Portage Sterling Creek Pharmacy

Federally Qualified Health Center (FQHC) · Portage, IN

NPI number 1538484209 Active

Practice location

6050 Sterling Creek Rd
Portage, IN 46368-7752

Call (219) 763-8112 Map

Fax (219) 764-5380

Mailing address

PO Box 1430
Portage, IN 46368-9230

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Clinic Pharmacy 3336C0002XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1538484209

Northshore Portage Sterling Creek Pharmacy's National Provider Identifier is 1538484209, issued on Apr 6, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Portage, IN. The record was last updated on Sep 5, 2024.