| NPI | 1861608911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD VOLIVA President & Pharmacist In Charge 812-476-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 60005480A) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |