| NPI | 1295819563 |
|---|---|
| Doing Business As | HERBST COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HEIDI TANNER President 765-452-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IN 60005905A) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-03-09 |