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Organization

CRAIG-WEST INC

Active
Other names
HANCOCKS DRUG STORE
Organization subpart
No

Provider details

NPI number
Authorized official
EVAN WEST PHARMD (PHARMACIST COOWNER)
(812) 752-2021
Entity
Organization

Contact information

Practice address
120 W MCCLAIN AVE, SCOTTSBURG, IN 47170-2046
(812) 752-2021
(812) 752-7688
Mailing address
120 W MCCLAIN AVE, SCOTTSBURG, IN 47170-2046
(812) 752-2021
(812) 752-7688

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
60002548A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100301250A
IN
01
2024199
PK
Enumeration date
11/03/2005
Last updated
02/18/2020
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