| NPI | 1699802082 |
|---|---|
| Doing Business As | WINONA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LAM Q NGUYEN Owner 317-590-0829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IN 60007748) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |