| NPI | 1134128705 |
|---|---|
| Doing Business As | ELKHART GENERAL OUT PATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P COSTELLO CFO 574-647-3460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60004113A) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2022-12-01 |