| NPI | 1750424602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER A STEMER President 219-836-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IN 60005454A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 60005454A) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60005454A) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2009-02-06 |