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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