| NPI | 1386731099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD COX Manager Outpatient Phcy 317-880-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: IN 60004786A) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-08-10 |