| NPI | 1750307609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT STEMBEL Owner 765-583-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60003935) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-07-10 |