| NPI | 1841883154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD BURKS VP 812-461-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Additional Taxonomies | 183500000X Pharmacist |
| 333600000X Pharmacy | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-02-17 |