Organization
HCMH DIVERSIFIED MANAGEMENT CORP
Active
Other names
HCMH OUTPATIENT NEIGHBORHOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RAZOR RPH (MANAGER)
(765) 529-3313
Entity
Organization
Contact information
Practice address
1000 N 16TH ST, NEW CASTLE, IN 47362-4319
(765) 521-1483
(765) 593-2428
Mailing address
1000 N 16TH ST, NEW CASTLE, IN 47362-4319
(765) 521-1483
(765) 593-2428
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60005279A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200176100A
—
IN
01
—
2024028
PK
—
Enumeration date
11/16/2006
Last updated
02/21/2017
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