| NPI | 1760602296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN MILLIKAN Pharmacy Directer 812-386-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: IN 67000258a) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |