NPI | 1275601072 |
---|---|
Doing Business As | JR PHARMACY LLC 2 |
Entity Type | Organization |
Authorized Contact | RONALD VENCEL President 812-234-8305 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 60005646A) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy Long Term Care Pharmacy | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2017-02-27 |