| NPI | 1265823926 |
|---|---|
| Doing Business As | PANACEA PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | JOSHUA ANDERSON President 812-276-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006429A) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2017-04-20 |