NPI | 1942217963 |
---|---|
Doing Business As | MAINSTREET MARKET PHARMACY |
Entity Type | Organization |
Authorized Contact | JAMES CARTER Manager 765-741-1326 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60005591A) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-02 |
Last Update Date | 2013-12-23 |