Organization
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Active
Organization
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Active
Other names
JSD Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA R. SANAPATI MD (PRESIDENT)
(812) 618-3909
Entity
Organization
Contact information
Practice address
1101 PROFESSIONAL BLVD, SUITE 212, EVANSVILLE, IN 47714
(812) 618-3909
(812) 379-8096
Mailing address
1101 PROFESSIONAL BLVD STE 212, EVANSVILLE, IN 47714-8016
(812) 618-3909
(812) 379-8096
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
60006683A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60006697A
STATE BOARD OF PHARMACY
IN
Enumeration date
01/07/2015
Last updated
02/11/2025
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