NPI | 1962055186 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTANY CAUDILL Tech/Manager 219-487-1879 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-07-17 |
Last Update Date | 2019-07-17 |