| 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 |