Organization
JR PHARMACY ROCKVILLE LLC 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY J WARREN (PRESIDENT)
(765) 828-1003
Entity
Organization
Contact information
Practice address
1330 N LINCOLN RD, ROCKVILLE, IN 47872-1541
(765) 569-6900
(765) 569-5797
Mailing address
1238 S 3RD ST STE C, TERRE HAUTE, IN 47802-0018
(812) 234-8305
(812) 234-0225
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
01/22/2026
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