Parkside Pharmacy Inc

NPI 1063465904 - Pharmacy - 333600000X

NPI Details
NPI 1063465904
Enumeration Date 05/19/2006
Last Updated 02/11/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDALL L RANDALL
Position OWNER PHARMACIST
Phone (765) 447-1000
Fax (765) 447-4714
Practice Location
2200 FERRY ST
LAFAYETTE IN, 47904-3016, US
Phone (765) 447-1000
Fax (765) 447-4714
Business Location
2200 FERRY ST
LAFAYETTE IN, 47904-3016, US
Phone (765) 447-1000
Fax (765) 447-4714
Toxanomy
Taxonomy Code 333600000X
License State Indiana
License Number 60002772A
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According to our database, Parkside Pharmacy Inc NPI is 1063465904, taxonomy code is 333600000X and license number is 60002772A, license state is located at Indiana. Parkside Pharmacy Inc physically located at 2200 Ferry St, Lafayette IN, 47904-3016. NPI Number 1033115704 has the healthcare provider type.

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1063465904 NPI number is provided on an as is basis without warranty of any kind. 1063465904 is maintained by the National Plan & Provider Enumeration System. The contents of Parkside Pharmacy Inc are for informational purposes only.