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Organization
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Active
Organization
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Active
Parent organization
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Other names
JSD Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Authorized official
MAHENDRA R. SANAPATI MD (PRESIDENT)
(812) 477-7246
Entity
Organization
Contact information
Practice address
1101 PROFESSIONAL BLVD STE 212, EVANSVILLE, IN 47714-8016
(812) 618-1065
(812) 379-8096
Mailing address
1101 PROFESSIONAL BLVD STE 100, EVANSVILLE, IN 47714-8018
(812) 477-7246
(812) 477-7240
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60006697B
IN CSR
IN
Enumeration date
01/29/2019
Last updated
02/11/2025
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