| NPI | 1265564942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY LYNN DEMOTTE Pharmacy Technician 812-634-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: IN 60005700A) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |