| NPI | 1144357328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA KRUPA Exec Director Pharmacy 574-239-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 60004874A) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-11-22 |