Organization
KISCH, P.C.
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN L. KISCH PHARMD (PHARMACIST)
(317) 347-9929
Entity
Organization
Contact information
Practice address
3071 N HIGH SCHOOL RD, SPEEDWAY, IN 46224-2001
(317) 347-9929
(317) 299-0841
Mailing address
3071 N HIGH SCHOOL RD, SPEEDWAY, IN 46224-2001
(317) 347-9929
(317) 299-0841
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60005128A
IN
Other
Enumeration date
11/01/2006
Last updated
03/07/2023
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