Organization
PHARMA-CARD WEST, INC
Active
Other names
PHARMA-CARD HOBART
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S BRYCHELL RPH (PRESIDENT)
(219) 464-0404
Entity
Organization
Contact information
Practice address
174 BRACKEN PKWY, HOBART, IN 46342-6789
(219) 942-1159
(219) 945-1290
Mailing address
PO BOX 1637, VALPARAISO, IN 46384-1637
(219) 464-0404
(219) 465-0333
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60005939A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200245320
—
IN
Enumeration date
05/03/2006
Last updated
09/02/2008
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