| NPI | 1316354368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN H. PARK President And CEO 317-580-6314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IN 01031965A) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |