Organization
JR PHARMACY POPLAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY J WARREN (PRESIDENT)
(765) 828-1003
Entity
Organization
Contact information
Practice address
1101 POPLAR ST, TERRE HAUTE, IN 47807-4565
(812) 235-7373
(812) 478-0459
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
03/03/2020
Last updated
01/22/2026
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