Organization
WITHAM MEMORIAL HOSPITAL
Active
Other names
Witham Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
AARON LEE (DIRECTOR OF PHARMACY)
(765) 485-8395
Entity
Organization
Contact information
Practice address
2705 N LEBANON ST, LEBANON, IN 46052-8621
(765) 485-8390
(765) 485-8399
Mailing address
2705 N LEBANON ST, LEBANON, IN 46052-8621
(765) 485-8390
(765) 485-8399
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60000062A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269130A
—
IN
01
—
2147057
PK
—
Enumeration date
07/29/2014
Last updated
04/20/2021
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