Organization
VIGO HEALTH PHARMACY INC
Active
Other names
Vigo Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL B. PHARM (PRESIDENT, PIC)
(812) 240-7405
Entity
Organization
Contact information
Practice address
1635 N 3RD ST, TERRE HAUTE, IN 47804-4044
(812) 231-1040
(812) 231-1044
Mailing address
1635 N 3RD ST, TERRE HAUTE, IN 47804-4044
(812) 231-1040
(812) 231-1044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006425A
IN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201273850A
—
IN
01
—
2145592
PK
—
Enumeration date
11/29/2013
Last updated
11/22/2016
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