NPI | 1750373064 |
---|---|
Doing Business As | HERBST APOTHECARY INC |
Entity Type | Organization |
Authorized Contact | HEIDI TANNER President 765-457-1191 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 60002425A) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-08-22 |
Last Update Date | 2024-03-09 |