Organization
GG II INDIANA, LLC
Active
Organization
GG II INDIANA, LLC
Active
Other names
Needler's Fresh Market Pharmacy #928
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA BERGUM PHARMD (DIRECTOR OF PHARMACY)
(317) 450-5335
Entity
Organization
Contact information
Practice address
3015 W US HIGHWAY 36, PENDLETON, IN 46064-9280
(765) 221-7100
Mailing address
3015 W US HIGHWAY 36, PENDLETON, IN 46064-9280
(765) 221-7100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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