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Organization
CLOVERDALE DRUGS, INC
Active
Organization
CLOVERDALE DRUGS, INC
Active
Other names
Cloverdale Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
KENNEDY RYAN (OWNER)
(765) 795-4100
Entity
Organization
Contact information
Practice address
900 N MAIN ST, CLOVERDALE, IN 46120-8506
(765) 795-4100
(765) 795-5310
Mailing address
PO BOX 357, CLOVERDALE, IN 46120-0357
(765) 795-4100
(765) 795-5310
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100300610
—
IN
01
—
1509934
NABP
—
Enumeration date
09/08/2006
Last updated
03/24/2022
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