| NPI | 1619079191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C MITCHELL Pharmacy Director 812-855-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60001312A) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2022-03-08 |