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 |