NPI | 1770349516 |
---|---|
Doing Business As | INDIANA PHARMACY |
Entity Type | Organization |
Authorized Contact | VENUMADHAV CHALUVADI Member 973-885-2793 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2024-02-27 |
Last Update Date | 2024-02-27 |