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Organization

PAULS PHARMACY INC

Active
Other names
PAULS LTC PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB MAYER (PRESIDENT)
(812) 426-5033
Entity
Organization

Contact information

Practice address
4111 N SAINT JOSEPH AVE, EVANSVILLE, IN 47720-1206
(812) 426-5033
(812) 402-8920
Mailing address
4111 N ST JOSEPH AVE, EVANSVILLE, IN 47720
(812) 426-5033
(812) 402-8920

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
60006285A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2135286
PK
Enumeration date
03/25/2009
Last updated
08/20/2015
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