| NPI | 1699480087 |
|---|---|
| Other Name | JOHNSON MEMORIAL HOSPITAL OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ADAM B PUTVIN CFO 317-346-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2024-10-11 |