| NPI | 1437260395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK F RONDINELLI President 219-464-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IN 36091869) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 36091869) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-02-26 |