| 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 |