| NPI | 1306804133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C FITE Director Of Pharmacy Operations 812-425-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60003925A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |