Organization
STATE OF INDIANA, AUDITOR OF STATE
Active
Other names
RICHMOND STATE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BUTLER (SUPERINTENDENT)
(765) 966-0511
Entity
Organization
Contact information
Practice address
498 NW 18TH ST, RICHMOND, IN 47374-2851
(765) 966-0511
Mailing address
498 NW 18TH ST, RICHMOND, IN 47374-2851
(765) 966-0511
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60000031A
IN
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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