| NPI | 1740248616 |
|---|---|
| Other Name | RESIDENTIAL CRF |
| Entity Type | Organization |
| Authorized Contact | JASON C ALLEN Pharmacist 765-825-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-12-05 |