| NPI | 1891199295 |
|---|---|
| Doing Business As | SHIPSHEWANA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID L ANDERSON CEO 260-768-4433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006400B) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IN 60006400B) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60006400B) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |