Organization
GOOD SAMARITAN HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SHANE WILSON R.PH. (DIRECTOR OF PHARMACY)
(812) 885-3864
Entity
Organization
Contact information
Practice address
520 S 7TH ST, PHARMACY DEPARTMENT, VINCENNES, IN 47591-1038
(812) 885-3348
(812) 885-3087
Mailing address
520 S 7TH ST, PHARMACY DEPARTMENT, VINCENNES, IN 47591-1038
(812) 885-3348
(812) 885-3087
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60001786A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1517157
NCPDP
IN
Enumeration date
02/14/2007
Last updated
01/31/2024
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