NPI | 1114300340 |
---|---|
Doing Business As | FRANCISCAN OUTPATIENT PHARMACY LAFAYETTE |
Entity Type | Organization |
Authorized Contact | TERRENCE E WILSON President & Chief Executive Officer 765-502-4000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2015-07-07 |
Last Update Date | 2025-01-09 |