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Organization

PHARMA - CARD INC

Active
Other names
PHARMA CARD VALPARAISO NORTH
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD BRYCHELL (PRESIDENT)
(219) 464-0404
Entity
Organization

Contact information

Practice address
2010 CALUMET AVE STE A, SUITE A, VALPARAISO, IN 46383-2913
(219) 464-0404
(219) 465-0333
Mailing address
2010 CALUMET AVE STE A, SUITE A, VALPARAISO, IN 46383-2913
(219) 464-0404
(219) 465-0333

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
60003643A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2026664
PK
05
300001859
IN
Enumeration date
05/03/2006
Last updated
09/19/2025
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