NPI | 1558311639 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD R SHEDRON President 765-497-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 6005612a) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2023-03-07 |