Organization
GREENWOOD 65 LOW COST RX
Active
Other names
LOW COST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE HARTMAN (OWNER)
(317) 888-5373
Entity
Organization
Contact information
Practice address
988 E MAIN ST, GREENWOOD, IN 46143-1501
(317) 888-5373
(317) 888-0217
Mailing address
988 E MAIN ST, GREENWOOD, IN 46143-1501
(317) 888-5373
(317) 888-0217
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60004200A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100378390
—
IN
01
—
2027287
PK
—
Enumeration date
07/30/2006
Last updated
11/22/2016
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