| NPI | 1922036300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE M DONES Owner 812-944-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IN 60002254) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-07-20 |