Organization
HOOSIER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD G VISCHAK RPH (OWNER/PHARMACIST)
(219) 931-7070
Entity
Organization
Contact information
Practice address
3833 HOHMAN AVE., HAMMOND, IN 46327-1160
(219) 931-7070
(219) 931-1235
Mailing address
3833 HOHMAN AVE., HAMMOND, IN 46327-1160
(219) 931-7070
(219) 931-1235
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60000203A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298550
—
IN
01
—
1511282
NAPB
—
Enumeration date
02/13/2007
Last updated
07/23/2008
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