Organization
PHARMA-CARD WEST, INC
Active
Other names
PHARMA-CARD HAMMOND
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S BRYCHELL RPH (PRESIDENT)
(219) 464-0404
Entity
Organization
Contact information
Practice address
5500 HOHMAN AVE, HAMMOND, IN 46320-1965
(219) 932-2920
(219) 933-2194
Mailing address
PO BOX 1637, VALPARAISO, IN 46384-1637
(219) 464-0404
(219) 465-0333
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60005324A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351712881001
—
IL
Enumeration date
05/03/2006
Last updated
01/08/2008
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