Organization
PARKVIEW HOSPITALS, INC.
Active
Parent organization
PARKVIEW HOSPITAL, INC.
Other names
Parkview Randallia Outpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKVIEW HOSPITAL, INC.
Authorized official
JEANNE WICKENS (CHIEF FINANCIAL OFFICER)
(260) 266-9313
Entity
Organization
Contact information
Practice address
2200 RANDALLIA DRIVE, FORT WAYNE, IN 46805
(260) 373-3456
(260) 373-3434
Mailing address
2200 RANDALLIA DRIVE, FORT WAYNE, IN 46805
(260) 373-3456
(260) 373-3434
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100470980A
—
IN
Enumeration date
11/22/2023
Last updated
11/22/2023
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