Organization
DEKALB MEMORIAL PHARMACARE LLC
Active
Other names
DeKalb Health PharmaCare Garrett
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON RISSER (ACFO)
(260) 266-9380
Entity
Organization
Contact information
Practice address
1350 S RANDOLPH ST, GARRETT, IN 46738-1971
(260) 553-9200
(260) 553-9201
Mailing address
1350 S RANDOLPH ST, GARRETT, IN 46738-1971
(260) 553-9200
(260) 553-9201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006582A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164066
PK
—
Enumeration date
10/14/2016
Last updated
10/31/2024
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