Organization
GEORGE'S FAMILY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE GILLMAN (OWNER)
(765) 647-6251
Entity
Organization
Contact information
Practice address
2202 N TOTTEN CIR STE B, NORTH VERNON, IN 47265-6382
(855) 600-6251
Mailing address
1198 STATE ROAD 46 E, BATESVILLE, IN 47006-9232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100295890D
—
IN
Enumeration date
10/20/2017
Last updated
06/16/2018
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