NPI | 1417042003 |
---|---|
Doing Business As | GRASSY CREEK COMMUNITY HEALTH CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | TODD COX Manager Outpatient Phcy 317-880-4340 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IN 60004994B) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-10-03 |
Last Update Date | 2018-08-10 |