Organization
GOOD SAMARITAN HOSPITAL
Active
Parent organization
GOOD SAMARITAN HOSPITAL
Other names
Good Samaritan Specialty Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SAMARITAN HOSPITAL
Authorized official
MR. ADAM THACKER (CEO)
(812) 882-5220
Entity
Organization
Contact information
Practice address
305 S 5TH ST STE A, VINCENNES, IN 47591-1117
(812) 255-2000
(812) 291-9612
Mailing address
1620 W NORTHWEST HWY STE 100, GRAPEVINE, TX 76051-3219
(817) 913-7247
(817) 720-1039
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/06/2024
Last updated
01/28/2026
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