Organization
DECATUR COUNTY MEMORIAL HOSPITAL
Active
Other names
Decatur County Memorial Hospital Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SIMMONS (PRESIDENT/CEO)
(812) 663-1170
Entity
Organization
Contact information
Practice address
720 N LINCOLN ST, GREENSBURG, IN 47240-1327
(812) 663-1250
(812) 663-1190
Mailing address
720 N LINCOLN ST, GREENSBURG, IN 47240-1327
(812) 663-1250
(812) 663-1190
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006562A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268720A
—
IN
01
—
2158498
PK
—
Enumeration date
03/07/2016
Last updated
04/27/2016
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