| NPI | 1700889300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J. SCHULTHEIS Manager 812-425-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IN 60000715A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 60000715A) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IN 60000715A) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2008-04-30 |