Organization
NATIONAL DRUG STORE INC
Active
Other names
Lynn's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNN DUANE HOSTETLER R.PH. (CEO, OWNER)
(812) 446-2381
Entity
Organization
Contact information
Practice address
22 W NATIONAL AVE, BRAZIL, IN 47834-2537
(812) 446-2381
(812) 448-1855
Mailing address
22 W NATIONAL AVE, BRAZIL, IN 47834-2537
(812) 446-2381
(812) 448-1855
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
600001656A
IN
3336C0003X
Community/Retail Pharmacy
Primary
60001656A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294490
—
IN
Enumeration date
12/15/2006
Last updated
08/04/2016
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