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Organization
WITHAM MEMORIAL HOSPITAL
Active
Organization
WITHAM MEMORIAL HOSPITAL
Active
Other names
Witham Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
AARON LEE (DIRECTOR OF PHARMACY)
(765) 485-8395
Entity
Organization
Contact information
Practice address
2705 N LEBANON ST, LEBANON, IN 46052-8621
(765) 485-8390
(765) 485-8399
Mailing address
2705 N LEBANON ST, LEBANON, IN 46052-8621
(765) 485-8390
(765) 485-8399
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60000062A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269130A
—
IN
01
—
2147057
PK
—
Enumeration date
07/29/2014
Last updated
04/20/2021
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