| NPI | 1982858684 |
|---|---|
| Doing Business As | PHARMAKON COMPOUNDING PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | CAROL ELMER CEO 317-818-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IN 60006167A) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2016-01-29 |