| NPI | 1023678489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HAYES Owner / Pharmacist In Charge 317-771-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |