| NPI | 1710905625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L WEISS President 317-896-9378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 6003776A) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-08-19 |