| NPI | 1366475113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CLAYBORNE WILLIAMS Owner/Chief Strategy Officer 812-254-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.018711) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 60006379A) |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-04-10 |