| NPI | 1235536392 |
|---|---|
| Other Name | VERVE HEALTH AT NICEPAK |
| Entity Type | Organization |
| Authorized Contact | GERRY ERB CEO 317-573-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IN 02002977A) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IN 02002977A) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2015-05-15 |