| NPI | 1275637225 |
|---|---|
| Doing Business As | JR PHARMACY POPLAR LLC |
| Entity Type | Organization |
| Authorized Contact | RONALD VENCEL President 812-234-8305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60005675A) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2017-02-20 |