| NPI | 1891838520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHANE WILSON Director Of Pharmacy 812-885-3864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: IN 60001786A) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2024-01-31 |