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DEACONESS HOSPITAL INC

Suppliers Pharmacy

Provider NPI: 1780129957

Organization Information:
Organization Name:  DEACONESS HOSPITAL INC
Organization is not Subpart
Authorized Official:  THOMAS  FITE  PHARMACY MANAGER  812-450-3780

Practice Location:
421 CHESTNUT ST  EVANSVILLE, IN 47713-1227 US
Tel: 812-450-3784  Fax: 812-450-6340

Business Mailing Address:
421 CHESTNUT ST  EVANSVILLE, IN 47713-1227 US
Tel: 812-450-3784  Fax: 812-450-6340

NPI Information:
NPI: 1780129957
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0003XSuppliers
Pharmacy
Y3336I0012XSuppliers
Pharmacy
IN60001691A
N3336S0011XSuppliers
Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
300000549IN05
PK216736101



American Medical Association 2012 taxonomy code information

Code: 3336I0012X

Type:

Classification:



Definition:



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