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 |