Organization
NSPB CORP DBA HOLIDAY PHARMACY
Active
Other names
Holiday Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L MCFADDEN R,PH. (MANAGER)
(812) 429-0711
Entity
Organization
Contact information
Practice address
1202 W BUENA VISTA RD, EVANSVILLE, IN 47710-5185
(812) 429-0711
(812) 429-1784
Mailing address
1202 W BUENA VISTA RD, EVANSVILLE, IN 47710-5185
(812) 429-0711
(812) 429-1784
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
60003294A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1516523
NCPDP
IN
01
—
60003294A
PHARMACY PERMIT
IN
Enumeration date
02/09/2007
Last updated
03/07/2023
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