# LONG TERM RX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134218787
- **Authorized official:** TAMMY ALLEN (VP MGR DIRECTOR)
- **Authorized official phone:** (765) 529-1338

## Contact information

- **Practice address:** 540 N MEMORIAL DR, NEW CASTLE, IN 47362-4922
- **Practice address phone:** (765) 529-1338
- **Practice address fax:** (765) 521-8656
- **Mailing address:** 540 N MEMORIAL DR, NEW CASTLE, IN 47362-4922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 60004040A | IN | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1527970 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |