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Suppliers Pharmacy

Provider NPI: 1801313002

Organization Information:
Organization is not Subpart
Authorized Official:  THOMAS  FITE  PHARMACY MANAGER  812-450-3784

Practice Location:
Tel: 812-450-3784  Fax: --

Business Mailing Address:
Tel: 812-450-3784  Fax: --

NPI Information:
NPI: 1801313002
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 3336I0012X





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