Organization
HERBST APOTHECARY INC
Active
Other names
HERBST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI TANNER RPH (PRESIDENT)
(765) 457-1191
Entity
Organization
Contact information
Practice address
300 E SOUTHWAY BLVD STE E, KOKOMO, IN 46902-3678
(765) 455-5418
(765) 455-5724
Mailing address
300 E SOUTHWAY BLVD STE E, KOKOMO, IN 46902-3678
(765) 455-5418
(765) 455-5724
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60004199A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100297370
—
IN
01
—
2027246
PK
—
Enumeration date
08/22/2005
Last updated
02/28/2024
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