| NPI | 1891222584 |
|---|---|
| Doing Business As | CONFIDENTIAL DRUG, LLC |
| Entity Type | Organization |
| Authorized Contact | LYMAN EATON President/CEO 317-989-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60006610A) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2018-07-19 |