Organization
SCOTT COUNTY MEDICAL ARTS PHARMACY INC
Active
Other names
MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JOHNSON (OWNER)
(812) 752-2692
Entity
Organization
Contact information
Practice address
1366 N GARDNER ST, SCOTTSBURG, IN 47170-7793
(812) 752-4226
(812) 752-4056
Mailing address
PO BOX 346, SCOTTSBURG, IN 47170-0346
(812) 752-4226
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60004480A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100301260
—
IN
01
—
2024275
PK
—
Enumeration date
12/09/2005
Last updated
03/28/2017
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