Organization
KROSER LIMITED PHARTNERSHIP I
Active
Other names
SCOTTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA LANGWORTHY CPHT (PHARMACY LICENSING MANAGER)
(513) 698-1878
Entity
Organization
Contact information
Practice address
3105 N ANTHONY BLVD, FORT WAYNE, IN 46805-2227
(260) 483-2174
(260) 484-1469
Mailing address
5960 CASTLEWAY WEST DR, INDIANAPOLIS, IN 46250-1977
(317) 579-8434
(317) 579-8424
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006078A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1561617
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
200866240A
—
IN
Enumeration date
06/13/2007
Last updated
04/25/2012
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