Organization
FAULKENBERG HARTH INC
Active
Other names
ROCKPORT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARLAND FAULKENBERG RPH (PHCY MANAGER)
(812) 649-9181
Entity
Organization
Contact information
Practice address
400 MAIN ST, ROCKPORT, IN 47635-1420
(812) 649-9181
(812) 649-4758
Mailing address
400 MAIN ST, ROCKPORT, IN 47635-1420
(812) 649-9181
(812) 649-4758
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006020A
IN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1561213
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
1598845547
NPI
IN
Enumeration date
10/16/2006
Last updated
06/23/2011
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