Organization
HERBST APOTHECARY INC
Active
Organization
HERBST APOTHECARY INC
Active
Other names
HERBST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI TANNER RPH (PRESIDENT)
(765) 457-1191
Entity
Organization
Contact information
Practice address
710 W MAIN ST, GREENTOWN, IN 46936-1045
(765) 628-3446
(765) 628-2639
Mailing address
710 W MAIN ST, GREENTOWN, IN 46936-1045
(765) 628-3446
(765) 628-2639
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60005692A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200382710
—
IN
01
—
2024592
PK
—
Enumeration date
08/22/2005
Last updated
03/09/2024
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