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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