| NPI | 1669622783 |
|---|---|
| Doing Business As | SOUTH RETAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RYAN KITCHELL EVP & CFO 317-962-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006255A) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2023-03-07 |