| NPI | 1861488124 |
|---|---|
| Doing Business As | HOMEMED LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK LONG President 317-616-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IN 60005759a) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |