Organization
PLYMOUTH TOWNE CARE PHARMACY INC
Active
Other names
PEOPLE'S DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BURGESS (SECRETARY)
(574) 936-3167
Entity
Organization
Contact information
Practice address
301 N MICHIGAN ST, PLYMOUTH, IN 46563-1735
(574) 936-3167
(574) 936-6155
Mailing address
301 N MICHIGAN ST, PLYMOUTH, IN 46563-1735
(574) 936-3167
(574) 936-6155
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006496A
IN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100309590B
—
IN
01
—
2024366
PK
—
Enumeration date
07/20/2005
Last updated
06/20/2016
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