NPI 1093102162
Saint Joseph Regional Medical Center - Plymouth Campus INC
Practice location
- Address
- 1915 Lake Ave, Plymouth, IN 46563-9366
- Phone
- (574) 948-4305
- Mailing address
- 6501 City West Pkwy, Eden Prairie, MN 55344-3248
Authorised official
- Name
- Carol Tincher
- Title
- Pharmacy Manager
- Phone
- (574) 948-4305
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1093102162
- Entity type
- Organization
- NPI issued
- 16 Apr 2015
- Record last updated
- 30 Aug 2023
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.