| NPI | 1306122171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI STEMBEL Owner 765-884-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006275A) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006275B) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |