| NPI | 1942332119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LYN BIDWELL Assistant Director Of Pharmacy Oper 812-482-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60005945) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |