| NPI | 1801313002 |
|---|---|
| Doing Business As | DEACONESS FAMILY PHARMACY GW |
| Entity Type | Organization |
| Authorized Contact | THOMAS FITE Pharmacy Manager 812-450-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |