Organization
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Active
Other names
PARKVIEW LAGRANGE HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ARMENTROUT PHARM D (PHARMACY MANAGER)
(260) 463-9373
Entity
Organization
Contact information
Practice address
207 N TOWNLINE RD, LAGRANGE, IN 46761-1325
(260) 463-9373
(260) 463-9370
Mailing address
207 N TOWNLINE RD, LAGRANGE, IN 46761-1325
(260) 463-2143
(260) 463-3790
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
60005889A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2027033
PK
—
Enumeration date
06/24/2006
Last updated
11/19/2019
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