NPI | 1265880389 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY S NEWBAUER Production Coordinator 765-464-8414 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IN 332900000X) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2016-05-31 |