| NPI | 1912900275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ZURAWSKI Owner/President 219-836-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IN 60002227A) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2022-07-21 |