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 |