Organization
GAS CITY DISTRIBUTORS INC
Active
Organization
GAS CITY DISTRIBUTORS INC
Active
Other names
GOOD NEIGHBOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CHENEY RPH (PRESIDENT,AO)
(765) 674-6976
Entity
Organization
Contact information
Practice address
1030 E MAIN ST, GAS CITY, IN 46933-1621
(765) 674-6976
(765) 674-0114
Mailing address
PO BOX 128, GAS CITY, IN 46933-0128
(765) 674-6976
(765) 674-0114
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60004362A
IN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100296200A
—
IN
01
—
2027532
PK
—
Enumeration date
03/28/2007
Last updated
05/02/2016
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