Organization
PLYMOUTH TOWNE CARE PHARMACY INC
Active
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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