| 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 |