Organization
GG II INDIANA, LLC
Active
Other names
Needler's Fresh Market Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA BERGUM (DIRECTOR OF PHARMACY)
(463) 203-5178
Entity
Organization
Contact information
Practice address
899 E JEFFERSON ST, TIPTON, IN 46072-8750
(765) 551-4477
Mailing address
899 E JEFFERSON ST, TIPTON, IN 46072-8750
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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