Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Other names
Memorial Hospital and Health Care Center, Deaconess Family Pharmacy Memorial
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MILLER (CAO & INDIANA REGION PRESIDENT)
(812) 996-0507
Entity
Organization
Contact information
Practice address
800 W. 9TH ST, JASPER, IN 47546-2514
(812) 996-0643
(812) 996-0214
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-0643
(812) 996-0214
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
050051021
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100455320
—
IN
Enumeration date
05/17/2006
Last updated
05/15/2026
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