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
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