Organization
HEART CITY HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENIO EDWARDO VALDEZ (QUALIFYING PHARMACIST)
(574) 970-1441
Entity
Organization
Contact information
Practice address
236 SIMPSON AVE, ELKHART, IN 46516-4671
(574) 970-1441
(574) 970-1449
Mailing address
236 SIMPSON AVE, ELKHART, IN 46516-4671
(574) 970-1441
(574) 970-1449
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
60005127A
IN
Other
Enumeration date
09/21/2005
Last updated
08/22/2020
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