| NPI | 1558079855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CORRESSELL COO/Pharmacy Director 812-430-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |