NPI | 1134130743 |
---|---|
Entity Type | Organization |
Authorized Contact | ALVIN E JONES Pharmacist Owner 574-255-3331 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IN 60002411A) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26091645A) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2014-04-08 |