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Organization
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Active
Organization
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Active
Other names
PARKVIEW LAGRANGE HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ARMENTROUT PHARM D (PHARMACY MANAGER)
(260) 463-9373
Entity
Organization
Contact information
Practice address
207 N TOWNLINE RD, LAGRANGE, IN 46761-1325
(260) 463-9373
(260) 463-9370
Mailing address
207 N TOWNLINE RD, LAGRANGE, IN 46761-1325
(260) 463-2143
(260) 463-3790
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
60005889A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2027033
PK
—
Enumeration date
06/24/2006
Last updated
11/19/2019
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