| NPI | 1225441975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON TUCKER Director Of Pharmacy 574-339-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: IN 60006215A) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-13 |