NPI | 1093579005 |
---|---|
Doing Business As | ESKENAZI HEALTH OKLAK FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | TRACEY RENEE THOMPSON Manager, Provider Relations,Enrollm 317-880-3986 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2024-02-09 |
Last Update Date | 2024-07-03 |