Panacea Pharmacy Inc

NPI 1265823926 - Pharmacy - 3336C0004X

NPI Details
NPI 1265823926
Enumeration Date 02/16/2015
Last Updated 08/05/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JOSHUA JOSHUA
Position PRESIDENT
Phone (812) 279-3470
Fax (812) 287-8921
Practice Location
2424 S WALNUT ST
BLOOMINGTON IN, 47401-7730, US
Phone (812) 279-3470
Fax (812) 287-8921
Business Location
PO BOX 366
BEDFORD IN, 47421-0366, US
Phone (812) 276-5782
Fax
Toxanomy
Taxonomy Code 3336C0004X
License State
License Number
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According to our database, Panacea Pharmacy Inc NPI is 1265823926, taxonomy code is 3336C0004X Panacea Pharmacy Inc physically located at 2424 S Walnut St, Bloomington IN, 47401-7730. NPI Number 1033115704 has the healthcare provider type.

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1265823926 NPI number is provided on an as is basis without warranty of any kind. 1265823926 is maintained by the National Plan & Provider Enumeration System. The contents of Panacea Pharmacy Inc are for informational purposes only.