| NPI | 1255926416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUMIIN CALCUTTAWALA Pharmacist In Charge 317-688-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-10 |