# JR PHARMACY ROCKVILLE LLC 4

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

## Provider details

- **NPI number:** 1245865203
- **Authorized official:** MR. TERRY J WARREN (PRESIDENT)
- **Authorized official phone:** (765) 828-1003

## Contact information

- **Practice address:** 1330 N LINCOLN RD, ROCKVILLE, IN 47872-1541
- **Practice address phone:** (765) 569-6900
- **Practice address fax:** (765) 569-5797
- **Mailing address:** 1238 S 3RD ST STE C, TERRE HAUTE, IN 47802-0018
- **Mailing address phone:** (812) 234-8305
- **Mailing address fax:** (812) 234-0225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2020
- **Last updated:** 01/22/2026