Organization
HCMH DIVERSIFIED MANAGEMENT CORP
Active
Organization
HCMH DIVERSIFIED MANAGEMENT CORP
Active
Other names
FOREST RIDGE NEIGHBORHOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL BURNS RPH (MANAGER)
(765) 529-3313
Entity
Organization
Contact information
Practice address
2200 FOREST RIDGE PKWY, NEW CASTLE, IN 47362-2943
(765) 599-3540
(765) 599-3541
Mailing address
2200 FOREST RIDGE PKWY, NEW CASTLE, IN 47362-2943
(765) 599-3540
(765) 599-3541
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60005462A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200219000A
—
IN
01
—
2024244
PK
—
Enumeration date
11/01/2006
Last updated
02/20/2017
Update your record
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