| NPI | 1396138814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONGXING ZHANG Managing Pharmacist 317-504-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006448A) |
| Enumeration Date | 2015-03-08 |
| Last Update Date | 2015-03-08 |