Organization
JOHN OF LYNNS TERRE HAUTE PHCY LLC
Active
Other names
TERRE HAUTE PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LOVE RPH (CEO)
(812) 232-9646
Entity
Organization
Contact information
Practice address
3020 S 7TH ST, TERRE HAUTE, IN 47802-3902
(812) 232-9646
(812) 232-9647
Mailing address
PO BOX 10998, TERRE HAUTE, IN 47801-0998
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
60005407A
IN
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003022804A
—
IN
01
—
1500049
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/18/2006
Last updated
09/11/2025
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