Organization
DOCTOR'S PHARMACY
Active
Other names
Doctor's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEE GORTAT R.PH. (SECRETARY/TREASURER)
(219) 923-2520
Entity
Organization
Contact information
Practice address
2727 HIGHWAY AVE, PHARMACY, HIGHLAND, IN 46322-1615
(219) 923-2520
(219) 923-2701
Mailing address
2727 HIGHWAY AVE, PHARMACY, HIGHLAND, IN 46322-1615
(219) 923-2520
(219) 923-2701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60004131A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298480A
—
IN
Enumeration date
12/09/2005
Last updated
01/18/2008
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