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Organization
GOOD SAMARITAN HOSPITAL PHARMACY
Active
Organization
GOOD SAMARITAN HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SHANE WILSON R.PH. (DIRECTOR OF PHARMACY)
(812) 885-3864
Entity
Organization
Contact information
Practice address
520 S 7TH ST, PHARMACY DEPARTMENT, VINCENNES, IN 47591-1038
(812) 885-3348
(812) 885-3087
Mailing address
520 S 7TH ST, PHARMACY DEPARTMENT, VINCENNES, IN 47591-1038
(812) 885-3348
(812) 885-3087
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60001786A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1517157
NCPDP
IN
Enumeration date
02/14/2007
Last updated
01/31/2024
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