Organization
HCMH DIVERSIFIED MANAGEMENT CORPORATION
Active
Other names
Nettle Creek Neighborhood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL F JANSSEN (PRESIDENT)
(765) 521-1508
Entity
Organization
Contact information
Practice address
25 WEST MAIN ST, HAGERSTOWN, IN 47346-1214
(765) 521-1366
(765) 521-1555
Mailing address
25 WEST MAIN ST, HAGERSTOWN, IN 47346-1214
(765) 521-1366
(765) 521-1555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60005309A
IN
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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