| NPI | 1639578024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DAVID HODGES Pharmacist In Charge 812-962-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |