Organization
SALEM APOTHECARY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA C MARSHALL R.PH. (PRESIDENT/PHARMACIST)
(812) 883-4500
Entity
Organization
Contact information
Practice address
3 PUBLIC SQ, SALEM, IN 47167-2050
(812) 883-4500
(812) 883-1440
Mailing address
3 PUBLIC SQ, SALEM, IN 47167-2050
(812) 883-4500
(812) 883-1440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
60003161
IN
3336C0003X
Community/Retail Pharmacy
Primary
60003161
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100302600A
—
IN
05
—
300030797
—
IN
Enumeration date
04/28/2006
Last updated
10/15/2020
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