| NPI | 1730212366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL H KERMODE Pharmacist 812-386-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60004871a) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |