# NSPB CORP DBA HOLIDAY PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holiday Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225179682
- **Authorized official:** MICHAEL L MCFADDEN R,PH. (MANAGER)
- **Authorized official phone:** (812) 429-0711

## Contact information

- **Practice address:** 1202 W BUENA VISTA RD, EVANSVILLE, IN 47710-5185
- **Practice address phone:** (812) 429-0711
- **Practice address fax:** (812) 429-1784
- **Mailing address:** 1202 W BUENA VISTA RD, EVANSVILLE, IN 47710-5185
- **Mailing address phone:** (812) 429-0711
- **Mailing address fax:** (812) 429-1784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 60003294A | IN | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1516523 | NCPDP | IN |
| 01 | — | 60003294A | PHARMACY PERMIT | IN |