NPI | 1962055863 |
---|---|
Doing Business As | DEACONESS FAMILY PHARMACY HENDERSON |
Entity Type | Organization |
Authorized Contact | SHAWN MCCOY CEO 812-450-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-07-19 |
Last Update Date | 2020-09-08 |