Organization
GEORGE'S FAMILY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE GILLMAN (OWNER/CEO)
(765) 647-6251
Entity
Organization
Contact information
Practice address
1198 STATE ROAD 46 E, BATESVILLE, IN 47006-9232
(812) 932-6251
(812) 932-6386
Mailing address
1198 STATE ROAD 46 E, BATESVILLE, IN 47006-9232
(812) 932-6251
(812) 932-6386
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201282270A
—
IN
Enumeration date
01/12/2018
Last updated
01/12/2018
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