| NPI | 1558456012 |
|---|---|
| Doing Business As | COTTAGE CORNER COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TODD COX Mgr Out PT Pharm 317-880-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IN 60004841) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-08-10 |