NPI | 1659485621 |
---|---|
Doing Business As | TERRE HAUTE PRESCRIPTION SHOP |
Entity Type | Organization |
Authorized Contact | JOHN LOVE CEO 812-232-9646 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IN 60005407A) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2020-08-22 |