Organization
DUESTERBERG DRUG CO INC
Active
Organization
DUESTERBERG DRUG CO INC
Active
Other names
DUESTERBERG DRUG CO INC
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CLEVELAND RPH (OWNER)
(812) 882-6193
Entity
Organization
Contact information
Practice address
402 S 6TH ST, VINCENNES, IN 47591-1023
(812) 882-6193
(812) 882-6186
Mailing address
PO BOX 116, VINCENNES, IN 47591-0116
(812) 882-6193
(812) 882-6186
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60000728A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100309350
—
IN
01
—
1514454
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/25/2006
Last updated
12/19/2009
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