| NPI | 1215914700 |
|---|---|
| Doing Business As | HOLLONS PANORMA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SANDRE BUTLER Manager 765-644-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 60003770) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2010-08-25 |