| NPI | 1760570030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB PAUL MAYER Owner 812-426-5033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 60005616A) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-09-17 |