| NPI | 1982737342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY RENEE BLUME Pharmacy Tech. 812-367-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IN 60005700A) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |