| NPI | 1629118757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA F. HURST Nurse Manager 812-337-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IN 60004296A) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-03-07 |