| NPI | 1578713699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN PEMBER CFO 317-962-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60005271A) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |