NPI | 1295727501 |
---|---|
Doing Business As | HERBST PHARMACY |
Entity Type | Organization |
Authorized Contact | HEIDI TANNER President 765-457-1191 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60004199A) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-08-22 |
Last Update Date | 2024-02-28 |