| NPI | 1811947096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLYNE BETH GANT Executive Director 317-596-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 60004797B) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |