NPI | 1427114651 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN DOUGLAS BARTON President 317-299-3771 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60003613) |
Enumeration Date | 2006-12-30 |
Last Update Date | 2021-03-12 |