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 |