NPI | 1962870295 |
---|---|
Doing Business As | PCA SOUTHERN INDIANA |
Entity Type | Organization |
Authorized Contact | MICHAEL BLACKETER Managing Pharmacist 502-608-9183 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60006494A) |
Enumeration Date | 2015-09-03 |
Last Update Date | 2015-09-17 |