Organization
PLYMOUTH TOWNE CARE PHARMACY INC
Active
Other names
PEOPLE DRUGS AND LIFEPLEX
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ORENDOR (PRESIDENT)
(574) 930-3167
Entity
Organization
Contact information
Practice address
2855 MILLER DR, STE 111, PLYMOUTH, IN 46563-8091
(574) 941-1067
(574) 941-1076
Mailing address
2855 MILLER DR, STE 111, PLYMOUTH, IN 46563-8091
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006058A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1561782
OTHER ID NUMBER
—
Enumeration date
08/06/2007
Last updated
09/13/2007
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