Organization
GEORGE'S FAMILY PHARMACY, INC.
Active
Other names
George's Family Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE GILLMAN (OWNER)
(765) 647-6251
Entity
Organization
Contact information
Practice address
330 E 5TH ST, CONNERSVILLE, IN 47331-2604
(765) 825-6386
(765) 825-6386
Mailing address
480 MAIN ST, BROOKVILLE, IN 47012-1406
(765) 647-6251
(765) 647-6386
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60006665A
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176679
PK
—
Enumeration date
03/27/2018
Last updated
03/27/2018
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