# COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARKVIEW LAGRANGE HOSPITAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811923543
- **Authorized official:** BRENDA ARMENTROUT PHARM D (PHARMACY MANAGER)
- **Authorized official phone:** (260) 463-9373

## Contact information

- **Practice address:** 207 N TOWNLINE RD, LAGRANGE, IN 46761-1325
- **Practice address phone:** (260) 463-9373
- **Practice address fax:** (260) 463-9370
- **Mailing address:** 207 N TOWNLINE RD, LAGRANGE, IN 46761-1325
- **Mailing address phone:** (260) 463-2143
- **Mailing address fax:** (260) 463-3790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | 60005889A | IN | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 11/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2027033 | PK | — |