NPI | 1902057698 |
---|---|
Doing Business As | BIG TEN PHARMACY |
Entity Type | Organization |
Authorized Contact | USHA RAY President 219-659-5029 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2008-10-01 |
Last Update Date | 2009-06-25 |