| NPI | 1063581916 |
|---|---|
| Doing Business As | LOW COST PRESCRIPTION SOUTH |
| Entity Type | Organization |
| Authorized Contact | CHARLES CLEVENGER President 765-643-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IN 60003132) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |