| NPI | 1255734992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN G BROWN Pharmacy Director 812-523-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |