| NPI | 1366546319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD VENCEL President 812-234-8305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 60005617A) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2016-11-21 |