| NPI | 1255822409 |
|---|---|
| Doing Business As | HERBST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREG MILLER Sec/Tres 765-457-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: IN 60002425A) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |