Organization
DEACONESS HOSPITAL INC
Active
Other names
DEACONESS HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MORTON PHARMD (DIR OF PHCY)
(812) 450-2494
Entity
Organization
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1658
(812) 450-2494
(812) 450-2493
Mailing address
600 MARY ST, EVANSVILLE, IN 47710-1658
(812) 450-2494
(812) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60001691A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024843
PK
—
Enumeration date
10/24/2011
Last updated
09/25/2014
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