NPI 1003802927
Professional Pharmacy
Practice location
- Address
- 800 Fulton St, Logansport, IN 46947-1577
- Phone
- (574) 722-5678
- Fax
- (574) 753-5597
Authorised official
- Name
- Christine Farnham
- Title
- Corp Secretary Treasurer
- Phone
- (574) 722-5678
Registered specialties (3)
Durable Medical Equipment & Medical Supplies
Primary
Community/Retail Pharmacy
Long Term Care Pharmacy
Registry record
- NPI
- 1003802927
- Entity type
- Organization
- NPI issued
- 26 Sep 2005
- Record last updated
- 1 Jun 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.