NPI | 1538934237 |
---|---|
Doing Business As | PARKVIEW RANDALLIA OUTPATIENT PHARMACY |
Entity Type | Organization |
Authorized Contact | JEANNE WICKENS Chief Financial Officer 260-266-9313 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-11-22 |
Last Update Date | 2023-11-22 |