| NPI | 1558306779 |
|---|---|
| Doing Business As | HEMA SOURCE |
| Entity Type | Organization |
| Authorized Contact | JAMES RICHTER Pharmacist 317-955-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60004995A) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2016-04-26 |