| NPI | 1598845547 |
|---|---|
| Doing Business As | ROCKPORT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARLAND FAULKENBERG Phcy Manager 812-649-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006020A) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-06-23 |