| NPI | 1700957362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG CONRAD Vice President & General Manager 574-647-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60004143A) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-06-05 |