| NPI | 1922884071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GRAY Treasurer/CFO 317-871-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |