| NPI | 1487759767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ANDERSON PIC 812-275-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: IN 60005490) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |