NPI | 1235536392 |
---|---|
Other Name | VERVE HEALTH AT NICEPAK |
Entity Type | Organization |
Authorized Contact | GERRY ERB CEO 317-573-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 02002977A) |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: IN 02002977A) |
Enumeration Date | 2014-12-04 |
Last Update Date | 2024-10-16 |