# JOHN OF LYNNS TERRE HAUTE PHCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TERRE HAUTE PRESCRIPTION SHOP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659485621
- **Authorized official:** JOHN LOVE RPH (CEO)
- **Authorized official phone:** (812) 232-9646

## Contact information

- **Practice address:** 3020 S 7TH ST, TERRE HAUTE, IN 47802-3902
- **Practice address phone:** (812) 232-9646
- **Practice address fax:** (812) 232-9647
- **Mailing address:** PO BOX 10998, TERRE HAUTE, IN 47801-0998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 60005407A | IN | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1003022804A | — | IN |
| 01 | — | 1500049 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |