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Organization
JAY COUNTY HOSPITAL
Active
Organization
JAY COUNTY HOSPITAL
Active
Other names
JAY COUNTY HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DON MICHAEL (CFO)
(260) 726-1818
Entity
Organization
Contact information
Practice address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
Mailing address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
60000354B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024987
PK
—
Enumeration date
06/27/2006
Last updated
12/31/2015
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