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Organization
JOHN OF LYNNS TERRE HAUTE PHCY LLC
Active
Organization
JOHN OF LYNNS TERRE HAUTE PHCY LLC
Active
Other names
TERRE HAUTE PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LOVE RPH (CEO)
(812) 232-9646
Entity
Organization
Contact information
Practice address
3020 S 7TH ST, TERRE HAUTE, IN 47802-3902
(812) 232-9646
(812) 232-9647
Mailing address
PO BOX 10998, TERRE HAUTE, IN 47801-0998
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
60005407A
IN
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003022804A
—
IN
01
—
1500049
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/18/2006
Last updated
09/11/2025
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