Organization
ENGLEKING RX, LLC
Active
Parent organization
ENGLEKING RX, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENGLEKING RX, LLC
Authorized official
RYAN ENGLEKING (OWNER)
(812) 865-3266
Entity
Organization
Contact information
Practice address
1494 W MAIN ST, MITCHELL, IN 47446-9493
(812) 865-3266
(812) 849-2832
Mailing address
1494 W MAIN ST, MITCHELL, IN 47446-9493
(812) 865-3266
(812) 849-2832
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201404890A
—
IN
Enumeration date
01/28/2019
Last updated
01/28/2019
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