Organization
JANKI PHARMACY, INC
Active
Other names
Clay City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (PRESIDENT)
(812) 240-7405
Entity
Organization
Contact information
Practice address
730 MAIN ST, CLAY CITY, IN 47841-1332
(812) 939-2173
(812) 939-2508
Mailing address
1635 N 3RD ST, TERRE HAUTE, IN 47804-4044
(812) 231-1040
(812) 231-1044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006563A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285095331
—
IN
05
—
201357460A
—
IN
01
—
2158702
PK
—
Enumeration date
03/17/2016
Last updated
08/09/2016
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