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Organization

PARKVIEW HOSPITAL, INC.

Active
Parent organization
PARKVIEW HOSPITAL, INC.
Other names
Medical Park 11 Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARKVIEW HOSPITAL, INC.
Authorized official
JEANNE WICKENS (CHIEF FINANCIAL OFFICER)
(260) 266-9313
Entity
Organization

Contact information

Practice address
11104 PARKVIEW CIRCLE DRIVE, FORT WAYNE, IN 46845-1704
(260) 266-4545
(260) 266-4549
Mailing address
11104 PARKVIEW CIRCLE DRIVE, FORT WAYNE, IN 46845-1704
(260) 266-4545
(260) 266-4549

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60000294A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100470980A
IN
01
1536119
NCPDP
Enumeration date
04/23/2007
Last updated
07/16/2019
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