NPI | 1720126295 |
---|---|
Doing Business As | DEKALB HEALTH PHARMACARE |
Entity Type | Organization |
Authorized Contact | CRAIG POLKOW CEO 260-925-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 60006238A) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0004X Pharmacy Compounding Pharmacy | |
Enumeration Date | 2007-02-04 |
Last Update Date | 2016-08-15 |