Organization
DAYWALT PHARMACIES, INC
Active
Other names
Daywalt Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN T DAYWALT (OWNER)
(260) 563-4155
Entity
Organization
Contact information
Practice address
948 N CASS ST, WABASH, IN 46992-1044
(260) 563-4155
(260) 563-4654
Mailing address
948 N CASS ST, WABASH, IN 46992-1044
(260) 563-4155
(260) 563-4654
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
60005204A
IN
3336C0003X
Community/Retail Pharmacy
Primary
60005204A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100302390A
—
IN
01
—
1505986
NCPDP
—
Enumeration date
11/29/2006
Last updated
02/10/2011
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