| NPI | 1114088911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY D DEWEESE President 812-735-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IN 60002628A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 60002628A) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: IN 60002628A) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-04-20 |