NPI | 1154676476 |
---|---|
Doing Business As | GUARDIAN PHARMACY OF INDIANA |
Entity Type | Organization |
Authorized Contact | STEVE PIEPENBRINK President 866-320-4669 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60006311A) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2012-07-24 |
Last Update Date | 2017-02-15 |