Organization
PHILLIPS DRUGS INC
Active
Other names
PHILLIPS DRUGS EAST
Organization subpart
No
Provider details
NPI number
Authorized official
RAY ZALESKI RPH (PRESIDENT)
(765) 966-5544
Entity
Organization
Contact information
Practice address
1626 E MAIN ST, RICHMOND, IN 47374-4323
(765) 966-2225
(765) 966-4362
Mailing address
631 E MAIN ST, RICHMOND, IN 47374-4309
(765) 966-5544
(765) 966-1497
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006131A
IN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100302730A
—
IN
01
—
2025848
PK
—
Enumeration date
07/27/2005
Last updated
03/31/2016
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