NPI | 1780022780 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVIS RUSCH President/Pharmacist 812-316-0079 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 60006339A) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2013-06-12 |
Last Update Date | 2017-02-20 |